For Payment From July 2005 Onwards

For payment from July 2005 onwards Single Copy ( to be sent to the ZAO )

CHALLAN NO. ITNS 281

Assessment Year

Tax Applicable ( Tick One ) TAX DEDUCTED / COLLECTED AT SOURCE FROM

(0020) COMPANY DEDUCTEES

-

(0021) NON-COMPANY DEDUCTEES

Tax Deduction Account No. (T.A.N.) Full Name Complete Address with City & State

Pin

Tel. No.

Type of payment

( Tick One )

TDS / TCS Payable by Taxpayer (200)

Code

TDS / TCS Regular Assessment ( Raised by I. T. Deptt. ) (400)

DETAILS OF PAYMENTS

Amount ( in Rs. Only )

FOR USE IN RECEIVING BANK

Income Tax Surcharge Education Cess Interest Penalty Others

Debit to A/c / Cheque credited on

DD

Total

MM

SPACE FOR BANK SEAL

Total ( in words ) CRORES

LACS

THOUSANDS

HUNDREDS

TENS

UNITS

Dated

Paid in cash/Debit to A/c/Cheque No Drawn on

( Name of the Bank and Branch )

Rs.

Date :

Signature of person making payment Taxpayers Counterfoil

( To be filled up by tax payer )

SPACE FOR BANK SEAL

T. A. N. Received from ( Name ) Paid in cash/Debit to A/c/Cheque No

For Rs.

Rs. ( in words ) Drawn on ( Name of the Bank and Branch )

Deductee

Tax Deducted from ( Strike out whichever is not applicable )

on account of Tax Deducted / Collected at source from For the Assessment Year

Printed From Website

http://www.meraconsultant.com

(Fill up code)

Rs.

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