=t zoo+ =rn +rnarr fq .

For payments from October 2004 onwards

,dy izfr {ks-ys-vf/kdkjh ds ikl Hkstus ds fy,
Single Copy (to be sent to the ZAO)
+= +| -. =|| = ==| , -) += +| -. =|| = ==| , -) += +| -. =|| = ==| , -) += +| -. =|| = ==| , -) += +| -. =|| = ==| , -) } }} }} Tax Deduction Account No. (T.A.N.)
+ =| -|= } + =| -|= } + =| -|= } + =| -|= } + =| -|= } Full Name
+ =| +-|, -== | = =|= =|r- } + =| +-|, -== | = =|= =|r- } + =| +-|, -== | = =|= =|r- } + =| +-|, -== | = =|= =|r- } + =| +-|, -== | = =|= =|r- } Complete Address with City & State
+rnar r ftr . DETAILS OF PAYMENTS
=rt . Income Tax
=f+rrt . Surcharge
frr+rr st . Education Cess
r . Interest
rrrfta . Penalty
=- . Others
rz . Total
trfrr ( =. n . Amount (in Rs. Only)
nra t rr nr . =nfra t . TAX DEDUCTED / COLLECTED AT SOURCE FROM
rr = r . Tear Off
trar r far . Taxpayers Counterfoil

t rat =rr =. ( . TAN

Received from
(rn . (Name)
= .=rra = zt . =. =.
Cash/ Debit to A/c /Cheque No. For Rs.
=. (rrr n
Rs. (in words)
=rar . drawn on
( q rrr=rr r rn . (Name of the Bank and Branch)
rtr = nra t t rat (t.zt.q=.
on account of Tax Deducted at Source (TDS) from
(r rn r rr s= r . (Strike out whichever is not applicable)
= n frtr rr . for the Assessment Year fq rta r=r
| =-|- +| + +|= } | =-|- +| + +|= } | =-|- +| + +|= } | =-|- +| + +|= } | =-|- +| + +|= } Nature of Payment +| = } +| = } +| = } +| = } +| = } Code
rz (rrr n . Total (in words)
*
sa t :(+ l-z||- n|| / Tax Applicable (Tick One) *
(0020) rt r atrar
COMPANY DEDUCTEES
rt.Company n t-rt.Non-Company
(0021) n t-rt r atrar
NON-COMPANY DEDUCTEES
/
. =rra = zt . =. fr
Paid in Cash/ Debit to A/c /Cheque No. Dated
=rar . Drawn on
( q rrr=rr r rn . (Name of the Bank and Branch)
rtr nr fr
fr . Date : nr t r fa rtar+rt
Signature of person making payment
rtaar n rn f
FOR USE IN RECEIVING BANK
=rra = zt . afz t artt=r
Debit to A/c / Cheque credited on
ar. . DD nr. . MM rr . YY
t nrrt fq trr
SPACE FOR BANK SEAL
nr-r . r rr +rt = r ftrt t =r
Important: Please see notes overleaf before
filling up the challan.
t nrrt fq trr
SPACE FOR BANK SEAL
trz . CRORES r=r . LACS
rrt .
THOUSANDS
=zr .
HUNDREDS
rr; . TENS ;r; . UNITS
*
(trar rtr +rtr rqnr
(To be filled up by tax payer)
nr a t t r at rr .
T.D.S. TAX CHALLAN [200]
pkyku la - @ vkbZ
Vh ,u ,l
CHALLAN NO. /
ITNS
281
|-|| =| +-| |-|| =| +-| |-|| =| +-| |-|| =| +-| |-|| =| +-|
Assessment
Year
ratrar.
Deductees
-
ftrt.NOTES
1. r r t f =rt =ffn, +ve+ t rtr zzz =r =r ==rt =ar t rat =rr ==r ( rrr
t +oooo.- = t rrrfta t trr r
Please note that quoting false TAN may attract a penalty of Rs. 10,000/- as per section 272BB of
I.T. Act, 1961.
2. +rnar - rt (frr fq =n rr r rn t
Use a Separate Challan for each Nature (Type) of Payment. The relevant Codes are:
==na rz frff=ra r.
rtr.Section +rnar r rt . Nature of Payment rz.Code
192 =| =+| + +n-|i +| |+ =+|i +n-|l| +| =<| /
Payment to Govt. Employees other than Union Government Employees 9 2 A
192 =+|i +n-|l| +| |+ +n-|l| +| =<| /
Payment of Employees other than Govt. Employees 9 2 B
193 l-|l-| | / Interest on securities 1 9 3
194 n|||z| / Dividend 1 9 4
194A l-|l-| = l|-- | / Interest other than interest on securities 9 4 A
194B n|i tni n t: i- / Winnings from lotteries and crossword puzzles 9 4 B
194BB |<| n t: i- / Winnings from horse race 4 B B
194C a+<|| -a+<|| +| |-|- / Payment of contractors and sub-contractors 9 4 C
194D in| +niz|- / Insurance Commission 9 4 D
194E ~l-|=i |n =n| | =||~| +| =<| / Payments to non-resident Sportsmen/Sport Associations 9 4 E
194EE |i -- |-| + ~--- l--|| = =l|- =<| /
Payments in respect of Deposits under National Savings Schemes 4 E E
194F --~n | .i.~|:. ,|| l-| + - + + +|| /
Payments on account of Re-purchase of Units by Mutual Funds or UTI 9 4 F
194G n|i +i =n +niz|- :-|n :|l< / Commision, prize etc. on sale of Lottery tickets 9 4 G
194H +niz|- | |+ / Commission or Brokerage 9 4 H
194 I l+|| / Rent 9 4 I
194J l-+ ~|| -+-i+i =|~| + ln( i= / Fees For Professional Or Technical Services 9 4 J
194K ll-l< --~n l-| | .i.~|:. +i l-| + = n l-|=i l-|l-i +| =< ~| / Income payable to a
Resident Assessee in respect of Units of a specified Mutual Fund or of the Units of the UTI 9 4 K
194LA +l- ~-n =-l-| + ~- l-+ +| =<| / Payment of Compensation on Acquisition
of Certain Immovable Property 9 4 L
195 ~l-|=i +| =<| ~- +n / Other sums payable to a non-resident 1 9 5
196A ~l-|=i +i l-| + = n ~| / Income in respect of units of Non-Residents 9 6 A
196B ~- l-l + l-| + = n l+| | =<| / Payments in respect of Units to an Offshore Fund 9 6 B
196C l+=i ~l-|=i +| =< l<z|i +-=i |= | ||-i +--i + z|| = ~| /
Income from foreign Currency Bonds or shares of Indian Company payable to Non-Resident 9 6 C
196D l-|l-| = l<z|i =||- l-z|+| +i ~| / Income of foreign institutional investors from securities 9 6 D
206C n|- -|| + ln( ln+ -|| -< -| = |- =t| /
Collection at Source from Liquor for Human Consumption and Tendu Leaves 6 C A
206C - + ~-- |-- +|a = |- =t| / Collection at Source from Timber obtained under Forest lease 6 C B
206C - + ~n|| ~- l+=i +| = |-- l+( ( +|a = |- =t| / Collection at Source from Timber
obtained by any Mode other than a Forest Lease 6 C C
206C l+=i ~- - -|< :| -< -| -ti t| = |- =t| /
Collection at source from any other Forest Produce (not being Tendu Leaves) 6 C D
206C + = =|- =t| / Collection at Source from Scrap 6 C E
206C |l+ n|= |n -n|| ~|| ||- ~|| |l- = =l- a+| ~|| n|:== ~|| = |- =t| /
Collection at Source from contractors or licensee or lease relating to Parking lots, toll plaza, or mine or quarry 6 C F
*
r rr st ==na r= n =rt r frrr nr rt ratrar arr nt-rt
ratrar = nra t r nq t r nr t f =n rr r rn fr rr r
PLEASE TICK THE RELEVANT BOX AT THE TOP OF THE CHALLAN. SEPARATE
CHALLANS SHOULD BE USED FOR DEPOSITING TAX DEDUCTED AT SOURCE FROM
COMPANY DEDUCTEES AND FROM NON-COMPANY DEDUCTEES.
rs t r z = r r t f =r far t rrr=rr rtr rtt rat n t rrr=rr r rn,
r z = t q= =rt r z, rr nr t t artt=r (f, nrr, rr arr rr an = =r t nr rt
nt r r ;= far r = r= t=r arr =t =r t ftrt n sa rat r t r sr =r t
CHECK BEFORE LEAVING THE BANK COUNTER THAT THE ACKNOWLEDGEMENT STAMPED
ON YOUR COUNTER FOIL BY THE BANK BRANCH BEARS THE NAME OF BANK BRANCH,
THE 7 DIGIT BSR CODE OF THE BRANCH, THE DATE OF DEPOSIT OF CHALLAN (DD MM YY)
AND THE CHALLAN SERIAL NO. PLEASE RETAIN THIS COUNTERFOIL AND MENTION THE
ABOVE ACKNOWLEDGEMENT DETAILS IN YOUR RETURN OF INCOME.