INCOME TAX DEPARTMENT

Challan Form For Making Tax

Payment Through Pay At Bank Counter Mode

CRN Challan Generated on Valid till

24071000357001 10-Jul-2024 25-Jul-2024
ITNS No. : 280
Name : U*******A S*****A
e-mail ID : lu***********@gmail.com
Mobile No. : 91XXXXXX40
PAN A.Y. F.Y. Major Head Minor Head ZAO Code
DBZPS1115K 2024-25 2023-24 Income Tax (Other than Other Receipts (500) 722019
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 : Union 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
24071000357001 2024-25 DBZPS1115K
Name Amount Major Head
U*******A S*****A ₹ 1,000 Income Tax (Other DD MMM YYYY
than Companies)
(0021)
Minor Head Payment through ZAO Code Space for bank seal
Other Receipts (500) Cash 722019
Drawn on Bank Sub-type of Payment
Union Bank Of India Fee for delay in linking PAN with Aadhaar
Branch Name : CIN : Date :
Bank Reference Number Cheque No./DD No. :
(BRN) :