CHALLAN

NO. Tax Applicable Assessment Year

ITNS 281 (0020)COMPANY DEDUCTEES 2010-11

Tax Deduction Account Number

Full Name
Complete Address with City & State

Tel.No Pin
Nature of Payment

Type of Payment

DETAILS OF PAYMENT Amount(in Rs. Only)

Debit to A/c / Chq credited on
Income Tax

Surcharge

Education Cess

Interest

Penalty

Others

Total

Total(in words)

Paid in Cash/Debit to A/c/Cheque No. Dated

Drawn on
Challan Indentification No.
(Name of the Bank and Branch)

Date

Signature of person making payment

Taxpayers Counterfoil
Debit to A/c / Chq credited on
TAN

Received from (Name)

Cash/Debit to A/c/Cheque No. For Rs.

Rs.(in words)

Drawn on

(Name of the Bank and Branch)

Company/Non-Company Deductees
Challan Indentification No.
on account of

Nature of Payment

for the Assesement Year