* 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 9 - 2 0
(0021) INCOME TAX (OTHER THAN ✔
COMPANIES)
Permanent Account Number
B D X P S 4 3 0 5 P
Full Name
B H O O P S I N G H
Complete Address with City & State
G A L I N o 3 N E A R M A N I R A M K I D H A N
H I S A R
Tel. No. 8 5 7 1 0 0 5 2 9 3 Pin 1 2 5 0 0 7
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 1 1 0 2 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 1 1 0 2 0
Total (in words) Eleven Thousand Twenty only
CRORES LACS THOUSANDS HUNDREDS TENS UNITS
ELEVEN TWO
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. 11020.00

Taxpayers Counterfoil (To be filled up by tax payer) SPACE FOR BANK SEAL
PAN B D X P S 4 3 0 5 P
Received from BHOOP S I NGH
(Name)
Cash/ Debit to A/c /Cheque No. For Rs. 11020
Rs. (in words) Eleven Thousand Twenty only
Drawn on
(Name of the Bank and Branch)

on account of BDXPS4305P 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 9 - 2 0 Rs. 11020.00

maxutils.com/fdn/