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ChallanForm

This document is a challan form from the Income Tax Department for G****v S*****a to make a tax payment of Rs. 1,000 through cash at a bank counter. It provides details of the taxpayer like name, PAN, email and mobile number. It specifies that Rs. 1,000 is to be paid under the major head of "Income Tax (Other than Companies)" and minor head of "Self Assessment Tax" with a ZAO code of 722019. The mode of payment is listed as cash at an ICICI Bank counter but does not include additional bank details.

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Gaurav Sardana
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140 views1 page

ChallanForm

This document is a challan form from the Income Tax Department for G****v S*****a to make a tax payment of Rs. 1,000 through cash at a bank counter. It provides details of the taxpayer like name, PAN, email and mobile number. It specifies that Rs. 1,000 is to be paid under the major head of "Income Tax (Other than Companies)" and minor head of "Self Assessment Tax" with a ZAO code of 722019. The mode of payment is listed as cash at an ICICI Bank counter but does not include additional bank details.

Uploaded by

Gaurav Sardana
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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INCOME TAX DEPARTMENT

Challan Form For Making Tax


Payment Through Pay At Bank Counter Mode

CRN Challan Generated on Valid till


22122900100663 29-Dec-2022 13-Jan-2023
ITNS No. : 280
Name : G****v S*****a
e-mail ID : ga*********@gmail.com
Mobile No. : 83XXXXXX36
PAN A.Y. F.Y. Major Head Minor Head ZAO Code
BVVPS8719R 2022-23 2021-22 Income Tax (Other than Self-Assessment Tax (300) 722019
Companies) (0021)

Tax Breakup Details (Amount In ₹)


A Tax ₹0 For Use In Receiving Bank

B Surcharge ₹0 Debit to A/c / Cheque credited on

C Cess ₹0

D Interest ₹0 DD MMM YYYY

E Penalty ₹0 Space for bank seal

F Others ₹ 1,000

Total (A+B+C+D+E+F) ₹ 1,000

Total (In Words) Rupees One Thousand


Only

Mode of Payment : Pay at Bank Counter

Payment through : Cash

Drawn on Bank : ICICI Bank

Branch Name : Cheque No./DD No. :


Name of the person making Date :
Signature of person making payment
payment :
Taxpayer’s Counterfoil
CRN A.Y. PAN
22122900100663 2022-23 BVVPS8719R
Name Amount Major Head
G****v S*****a ₹ 1,000 Income Tax (Other DD MMM YYYY
than Companies)
(0021)
Minor Head Payment through ZAO Code Space for bank seal
Self-Assessment Tax (300) Cash 722019
Drawn on Bank
ICICI Bank
Branch Name : CIN : Date :
Bank Reference Number Cheque No./DD No. :
(BRN) :

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