* Important : Please see notes overleaf before
filling up the challan
Single Copy (to be sent to the ZAO)
CHALLAN
Tax Applicable (Tick One)*
NO./
(0020) INCOME-TAX ON COMPANIES
Assessment Year
ITNS 280
(CORPORATION TAX)
-
(0021) INCOME TAX (OTHER THAN
COMPANIES)
Permanent Account Number
Full Name
Complete Address with City & State
Tel. No.
Pin
Type of Payment (Tick One)
Advance Tax (100)
Surtax (102)
Self Assessment Tax (300)
Tax on Distributed Profits of Domestic Companies (106)
Tax on Regular Assessment (400)
Tax on Distributed Income to Unit Holders (107)
DETAILS OF PAYMENTS
Amount (in Rs. Only)
FOR USE IN RECEIVING BANK
Income Tax
Debit to A/c / Cheque credited on
Surcharge
-
-
Education Cess
D D
M M
Y
Y
Interest
Penalty
Others
SPACE FOR BANK SEAL
Total
Total (in words)
CRORES
LACS
THOUSANDS
HUNDREDS
TENS
UNITS
Paid in Cash/Debit to A/c /Cheque No.
Dated
Drawn on
(Name of the Bank and Branch)
Date:
Rs.
Signature of person making payment
Taxpayers Counterfoil (To be filled up by tax payer)
SPACE FOR BANK SEAL
PAN
Received from
(Name)
Cash/ Debit to A/c /Cheque No.
For Rs.
Rs. (in words)
Drawn on
(Name of the Bank and Branch)
on account of
Companies/Other than Companies/Tax
Income Tax on
(Strike out whichever is not applicable)
Type of Payment
(To be filled up by person making the payment)
for the Asse