INCOME TAX DEPARTMENT

Challan Form For Making Tax

Payment Through Pay At Bank Counter Mode

CRN Challan Generated on Valid till

23062900364304 29-Jun-2023 14-Jul-2023
ITNS No. : 280
Name : A***K K***R P*******L K*****A
e-mail ID : as************@gmail.com
Mobile No. : 86XXXXXX49
PAN A.Y. F.Y. Major Head Minor Head ZAO Code
BRHPK5365B 2024-25 2023-24 Income Tax (Other than Other Receipts (500) 055880
Companies) (0021)

Tax Breakup Details (Amount In ₹)

A Tax ₹0 For Use In Receiving Bank

B Surcharge ₹0 Debit to A/c / Cheque credited on

C Cess ₹0

D Interest ₹0 DD MMM YYYY

E Penalty ₹0 Space for bank seal

F Others ₹ 1,000

Total (A+B+C+D+E+F) ₹ 1,000

Total (In Words) Rupees One Thousand

Only

Sub-type of Payment : Fee for delay in linking PAN with Aadhaar

Mode of Payment : Pay at Bank Counter

Payment through : Cash

Drawn on Bank : Bank Of Maharashtra

Branch Name : Cheque No./DD No. :

Name of the person making Date :
Signature of person making payment
payment :
Taxpayer’s Counterfoil
CRN A.Y. PAN
23062900364304 2024-25 BRHPK5365B
Name Amount Major Head
A***K K***R P*******L ₹ 1,000 Income Tax (Other DD MMM YYYY
K*****A than Companies)
(0021)
Minor Head Payment through ZAO Code Space for bank seal
Other Receipts (500) Cash 055880
Drawn on Bank Sub-type of Payment
Bank Of Maharashtra Fee for delay in linking PAN with Aadhaar
Branch Name : CIN : Date :
Bank Reference Number Cheque No./DD No. :
(BRN) :