* Important : Please see notes overleaf before

filling up the challan

CHALLAN
NO./
ITNS 280

Single Copy (to be sent to the ZAO)

Tax Applicable (Tick One)*

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

Assessment Year
- 1
0 1 5

Permanent Account Number

A D G P M 4 8 2 8 B
Full Name
K R I S

N A

A L

A S A
G A R,

Complete Address with City & State

N O
N A

: 1 9 ,
R A Y A

K
N

S T R
S A L

Tel. No.

E E T
E M
Pin

Type of Payment (Tick One)

Advance Tax (100)
Self Assessment Tax (300)
Tax on Regular Assessment (400)

Amount (in Rs. Only)

DETAILS OF PAYMENTS

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

LACS
----

Surtax (102)
Tax on Distributed Profits of Domestic Companies (106)
Tax on Distributed Income to Unit Holders (107)

FOR USE IN RECEIVING BANK

1 6 0

Debit to A/c / Cheque credited on

D D
M M
Y Y

SPACE FOR BANK SEAL

1 6 0
Rupees One hundred and Sixty only
THOUSANDS
--------------

HUNDREDS
ONE

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

Drawn on

TENS
SIX

Dated

UNITS
--

28.07.2016

(Name of the Bank and Branch)

Date:

28.07.2016

Rs.
Signature of person making payment

Taxpayers Counterfoil (To be filled up by tax payer)

SPACE FOR BANK SEAL

PAN
Received from
(Name)
Cash/ Debit to A/c /Cheque No.
For Rs.
Rs. (in words)
Drawn on
(Name of the Bank and Branch)
on account of
Companies/Other than Companies/Tax
Income Tax on
Type of Payment
for the Assessment Year

(Strike out whichever is not applicable)

(To be filled up by person making the payment)

Rs.