Single copy (to be sent to the ZAO)

Tax Applicable Assessment Year

CHALLAN NO.
ITNS 280 (0020) INCOME –TAX ON COMPANIES (CORPORATION TAX) 2021-2022
(0021) INCOME TAX (OTHER THAN COMPANIES) √
Permanent Account Number
AJSPT 7758 D
Full Name
NANDAGOPAL THARA BAI
Complete Address with city & state
5/5, SARASWATHI NAGAR, 1ST STREET, THIRUVOTTIYUR, CHENNAI, TAMIL NADU
Tel. No 6383100210 PIN 600019
Type of Payment
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
FOR USE IN RECEIVING BANK
Amount (in Rs.)
Tax 54000 Debit to A/c / Cheque credited on
Surcharge 0
Cess 2160
Interest 0 DD MM YY
Penalty SPACE FOR BANK SEAL
Others
Total 56160

Total (in words)

CRORES LACS THOUSANDS HUNDREDS TENS UNITS
ZERO ZERO FIFTY-SIX ONE SIX ZERO
Paid in. CHEQUE NO: 000020 Dated 10-DEC-2021
Drawn on HDFC BANK
(Name of the Bank and Branch)

Date: 10-DEC-2021 Signature of person making payment

Tear Off
Taxpayers counterfoil (To be filled up by tax payer) SPACE FOR BANK SEAL
PAN AJSPT 7758 D
Received from NANDAGOPAL THARA BAI
(Name)
CHEQUE NO: 000020 For Rs. 56160
Rs. (in words) FIFTY-SIX THOUSAND ONE HUNDRED SIXTY ONLY
Drawn on HDFC BANK
(Name of the Bank and Branch)

On account of Income Tax on OTHER THAN COMPANIES

Type of payment SELF ASSESSMENT TAX
For the Assessment Year 2021-2022