INCOME TAX DEPARTMENT

Challan Form For Making Tax

Payment Through Pay At Bank Counter Mode

CRN Challan Generated on Valid till

23072800802866 28-Jul-2023 12-Aug-2023
ITNS No. : 280
Name : A***D A***S P****R
e-mail ID : pa*************@gmail.com
Mobile No. : 96XXXXXX49
PAN A.Y. F.Y. Major Head Minor Head ZAO Code
ANAPP3937G 2023-24 2022-23 Income Tax (Other than Self-Assessment Tax (300) 722013
Companies) (0021)

Tax Breakup Details (Amount In ₹)

A Tax ₹ 29,780 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 ₹0

Total (A+B+C+D+E+F) ₹ 29,780

Total (In Words) Rupees Twenty Nine

Thousand Seven Hundred
And Eighty Only

Mode of Payment : Pay at Bank Counter

Payment through : Cheque

Drawn on Bank : Central 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
23072800802866 2023-24 ANAPP3937G
Name Amount Major Head
A***D A***S P****R ₹ 29,780 Income Tax (Other DD MMM YYYY
than Companies)
(0021)
Minor Head Payment through ZAO Code Space for bank seal
Self-Assessment Tax (300) Cheque 722013
Drawn on Bank
Central Bank Of India
Branch Name : CIN : Date :
Bank Reference Number Cheque No./DD No. :
(BRN) :