T.D.S.

/ TCS TAX CHALLAN Single Copy (to be sent to the ZAO)

Tax Applicable (Tick one)
Assessment
CHALLAN TAX DEDUCTED / COLLECTED AT SOURCE FROM
Year
NO./ ITNS 281 (0020) COMPANY DEDUCTEES [ ] (0021) NON-COMPANY DEDUCTEES [] 2019-20

Tax Deduction Account No. (T.A.N.)

ALDG02947A
Full Name
GURU GORAKHNATH SEWA SANSTHAN
Complete Address with City & State
0, GORAKHNATH MANDIR

GORAKHPUR, UTTAR PRADESH

Phone No. Pin 273001
Type of Payment Code 94C

TDS / TCS Payable by Tax Payer (200)  FOR USE IN RECEIVING BANK
TDS / TCS Regular Assessment (Raised by
I.T.deptt.)
(400) Debit to A/c / Cheque credited on

DETAILS OF PAYMENTS
Amount (In Rs. Only) DD MM YY

Income Tax 3020 SPACE FOR BANK SEAL

Fee under sec. 234E
Surcharge
Education Cess 0
Interest
Penalty 0
Total 3020
Total (in words):
CRORES LACS THOUSANDS HUNDERDS TENS UNITS
Zero Zero Three Zero Two Zero

Paid in Cash/Debit to A/c/Cheque

No. 083349 Dated 27/03/2019

Drawn on STATE BANK OF INDIA

(Name of the Bank and Branch)

Date: Signature of the Person making payment Rs.

Taxpayers Counterfoil (To be filled up by tax payer) SPACE FOR BANK SEAL
TAN ALDG02947A
Received from GURU GORAKHNATH SEWA SANSTHAN
Cash/Debit to A/c/Cheque No. 083349 For Rs. 3020
Rs. (in Words) Three Thousand Twenty Only
Drawn on STATE BANK OF INDIA
(Name of the Bank and Branch)

Companies/Non-Companies
on account of Tax Deducted at Source (TDS) / Tax Collected at
Source (TCS) from 94C
For the Assessment Year 2019-20 Rs.