INCOME TAX DEPARTMENT

Challan Form For Making Tax

Payment Through Pay At Bank Counter Mode

CRN Challan Generated on Valid till

24033100088204 31-Mar-2024 15-Apr-2024
ITNS No. : 280
Name : P*****A C*****Y
e-mail ID : av*******@gmail.com
Mobile No. : 97XXXXXX39
PAN A.Y. F.Y. Major Head Minor Head ZAO Code
CIMPC9774P 2023-24 2022-23 Income Tax (Other than Self-Assessment Tax (300) 722005
Companies) (0021)

Tax Breakup Details (Amount In ₹)

A Tax ₹ 2,535 For Use In Receiving Bank

B Surcharge ₹ 235 Debit to A/c / Cheque credited on

C Cess ₹ 145

D Interest ₹ 326 DD MMM YYYY

E Penalty ₹0 Space for bank seal

F Others ₹0

Total (A+B+C+D+E+F) ₹ 3,241

Total (In Words) Rupees Three Thousand

Two Hundred And Forty
One Only

Mode of Payment : Pay at Bank Counter

Payment through : Cheque

Drawn on Bank : State Bank Of India

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
24033100088204 2023-24 CIMPC9774P
Name Amount Major Head
P*****A C*****Y ₹ 3,241 Income Tax (Other DD MMM YYYY
than Companies)
(0021)
Minor Head Payment through ZAO Code Space for bank seal
Self-Assessment Tax (300) Cheque 722005
Drawn on Bank
State Bank Of India
Branch Name : CIN : Date :
Bank Reference Number Cheque No./DD No. :
(BRN) :