Challan 280

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Tax Applicable (Tick One)*

CHALLAN NO./ ITNS 280


Permanent Account Number

(0020) INCOME-TAX ON COMPANIES (CORPORATION TAX) (0021) INCOME TAX (OTHER THAN COMPANIES)

Assessment Year 2 0 1 4 1 5

A D H P K 0 7 0 5 C Full Name N I L E S H R K A M D A R ADDRESS SHIV SHANKAR, KHANDUBHAI DESAI ROAD, VILE PARLE E (e), (W) MUMBAI MUMBAI 400056 400056

Type of Payment (Tick One) Advance Tax (100) Self Assessment Tax (300) Tax on Regular Assessment (400)
DETAILS OF PAYMENTS

Surtax (102) Tax on Distributed Profits of Domestic Companies (106) Tax on Distributed Income to Unit Holders (107 Amount (in Rs. Only) 4 0 0 0 0
FOR USE IN RECEIVING BANK

Income Tax Surcharge Education Cess Interest Penalty Others Total Total (in words)
CRORES LACS

Debit to A/c / Cheque credited on D D M M Y Y

ONE LAKH FORTY THOUSANDTWO HUNDRED THIRTY ONLY


THOUSANDS HUNDREDS TENS UNITS

Paid in Cash/Debit to A/c /Cheque No. Drawn on Date: 9/11/2013

Forty 000161 Dated 9/11/2013 HDFC Bank, Khar (Name of the Bank and Branch) Signature of person making payment

PAN

ADHPK0705C Received from NILESH R KAMDAR (Name) Cash/ Debit to A/c /Cheque No. 000161 FORTY THOUSAND ONLY Rs. (in words) HDFC BANK, KHAR Drawn on Advance Tax (100) Received from Type of Payment for the Assessment Year For Rs. 40,000/-

(Name of the Bank and Branch) Companies/Other than Companies/Tax


(Strike out whichever is not applicable) (To be filled up by person making the payment)

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