* Important : Please see notes overleaf before Single Copy (to be sent to the ZAO)

filling up the challan

CHALLAN Tax Applicable (Tick One)*
NO./ (0020) INCOME-TAX ON COMPANIES Assessment Year
ITNS 280 (CORPORATION TAX) 2 0 1 7 - 1 8
(0021) INCOME TAX (OTHER THAN
COMPANIES)
Permanent Account Number
A P R P S 2 1 4 0 D
Full Name
V I R U P A K S H A S W A M Y
Complete Address with City & State
N O . 3 1 , 3 R D C R O S S , V I N A Y A K A L / O
B H O O P A S A N D R A R M V I I S T A G E B L O R E
Tel. No. 9 8 4 5 2 0 4 1 5 4 Pin 5 6 0 0 9 4
Type of Payment (Tick One)
Advance Tax (100) Surtax (102)
Self Assessment Tax (300) Tax on Distributed Profits of Domestic Companies (106)
Tax on Regular Assessment (400) Tax on Distributed Income to Unit Holders (107)
DETAILS OF PAYMENTS Amount (in Rs. Only) FOR USE IN RECEIVING BANK

Income Tax 4 0 0 0 0 0 Debit to A/c / Cheque credited on

Surcharge - -
Education Cess D D M M Y Y
Interest SPACE FOR BANK SEAL
Penalty
Others
Total 4 0 0 0 0 0
Total (in words) Rupees Four Lakh only
CRORES LACS THOUSANDS HUNDREDS TENS UNITS
4 0 0 0 0
Paid in Cash/Debit to A/c /Cheque No. Dated
Drawn on
(Name of the Bank and Branch)

Date:
Signature of person making payment Rs.

Taxpayers Counterfoil (To be filled up by tax payer) SPACE FOR BANK SEAL
PAN A P R P S 2 1 4 0 D
Received from VIRUPAKSHA SWAMY
(Name)
Cash/ Debit to A/c /Cheque No. For Rs. 4,00,000/-
Rs. (in words) Rupees Four Lakh Only
Drawn on
(Name of the Bank and Branch)

on account of Companies/Other than Companies/Tax

Income Tax on (Strike out whichever is not applicable)
Type of Payment (To be filled up by person making the payment)
for the Assessment Year 2 0 1 7 - 1 8 Rs.

finotax.com