for the Assessme nt Ye ar Rs .

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* Important : Please see notes overleaf before Single Copy (to be sent to the ZAO) filling up the challan
CHALLAN
NO./ ITNS 280
Tax Applicable (Tick One)* (0020) INCOME-TAX ON COMPANIES
(CORPORATION TAX) (0021) INCOME TAX (OTHER THAN COMPANIES)
Permanent Account Number
Full Name
Assessment
Complete Address with City & State
Tel. No. Pin
Advance Tax (100)
Total (in words)
CRORES
Type of Payment (Tick One)
Surtax (102) Tax on Distributed Profits of Domestic Companies (106) Tax on Distributed
Income to Unit Holders (107)
DETAILS

OF

PAYMENTS
Amount (in Rs. Only)
Income Tax
Surcharge
Education Cess D D
Self Assessment Tax (300)
Tax on Regular Assessment (400)
Interest
Penalty
Others
Total
-
than Companies/Tax rike out
FOR USE IN RECEIVING BANK
Debit to A/c / Cheque credited on
-
(Name)
Cash/ Debit to A/c /Cheque No. For Rs.
Rs. (in words)
Drawn on
Signature of person making payment
Taxpayers Counterfoil (To be filled up by tax payer)
PAN Received from
Date:
HUNDREDS TENS
M M
-
SPACE FOR BANK SEAL Rs.
SPACE FOR BANK SEAL
(Name of the Bank and Branch)
on account of Income Tax on Companies/Other (St (To be
Dated
(Name of the Bank and Branch)
THOUSANDS
Paid in Cash/Debit to A/c /Cheque No.
Drawn on
UNITS LACS
r
|
* Important : Please see notes overleaf before Single Copy (to be sent to the ZAO) filling up the challan
Yea
-
Complete Address with City & State
Type of Payment (Tick One)
Surtax (102) Tax on Distributed Profits of Domestic Companies (106) Tax on Distributed
Income to Unit Holders (107)
FOR USE IN RECEIVING BANK
Debit to A/c / Cheque credited on
Y Y
SPACE FOR BANK SEAL Rs.
SPACE FOR BANK SEAL