T.D.S./T.C.S.

TAX CHALLAN Single(Copy to be sent the ZAO)

Tax Applicable(Tick One)* Assessment
CHALLAN NO./ TAX DEDUCTED/COLLECTED AT SOURCE FROM Year
ITNS 281 (0020) COMPANY DEDUCTEES (0021) NON COMPANY DEDUCTEES a 2019-20
Tax Deduction Account No. TAN
LKNA13020A LKNA13020A
Full Name
ASHIMA KALRA
Complete Address With City and State
SAI TOURS AND TRAVELS, 31,AVAS VIKAS,CIVIL LINES,BAREILLY,UTTAR PRADESH
Tel. No. Pin 243001

Type of Payment Code* 94C FOR USE IN RECEIVING BANK

TDS/TCS Payable by TaxPayer(200) a debit to A/c /Cheque Credit on
TDS/TCS Regular Assessment(Raised by IT Deptt)(400)
DD MM YY
DETAILS OF PAYMENTS Amount(in Rs.only)
Income Tax 39200
Fee under sec. 234E 0
Surcharge 0
Education Cess 0
Interest 1180
Penalty 0
Others 0
Total 40380
Total(in words)
CRORES LACS THOUSANDS HUNDREDS TENS UNITS
FORTY THREE EIGHT

Paid in Cash/Debit to Ac/Cheque No Cash Dated

Drawn on
(Name of Bank and Branch)

Date 11/05/2019 Signature of person making Payment Rs.

Taxpayers Counterfoil(To be Filed up by the tax payer ) SPACE FOR BANK SEAL
TAN LKNA13020A
Received From ASHIMA KALRA
Cash/Debit to Ac/Cheque No Cash For Rs. 40380
Rs in Words FORTY THOUSAND THREE HUNDRED EIGHTY Only
Drawn on
(Name of the Bank and Branch)
Non Company Deductee
On account of Tax Deducted at Source (TDS)/ Tax Collected at source (TCS)
94C
from
for the Assessment Year 2019-20 Code 01787 Rs.