Income Tax Challan Payment Form

The document is a Challan Form for making tax payments through bank counter mode, including fields for taxpayer information, tax details, and payment specifics. It outlines the breakdown of tax, surcharge, cess, interest, penalty, and other charges, along with a total amount due. The form also includes sections for bank seals and signatures for verification purposes.

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Income Tax Challan Payment Form

Uploaded by

itzdhaliwal.06

We take content rights seriously. If you suspect this is your content, claim it here.

Available Formats

Download as PDF, TXT or read online on Scribd

INCOME TAX DEPARTMENT

Challan Form For Making Tax

Payment Through Pay At Bank Counter Mode

CRN Challan Generated on Valid till

Name :
e-mail ID :
Mobile :
No.
PAN A.Y. F.Y. Major Head Minor Head ZAO Code

Tax Breakup Details (Amount In ₹)

A Tax - For Use In Receiving Bank

B Surcharge - Debit to A/c / Cheque credited on

C Cess -

D Interest - DD MMM YYYY

E Penalty - Space for bank seal

F Others -

Total (A+B+C+D+E+F) -

Total (In Words) Zero Rupees

Mode of Payment :

Payment through :

Drawn on Bank :

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

Name Amount Major Head

- DD MMM YYYY
Minor Head Payment through ZAO Code Space for bank seal
Drawn on Bank

Branch Name : CIN : Date :

Bank Reference Number Cheque No./DD No. :
(BRN) :

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Income Tax Challan Payment Form

Uploaded by

Income Tax Challan Payment Form

Uploaded by

INCOME TAX DEPARTMENT

Challan Form For Making Tax

CRN Challan Generated on Valid till

Tax Breakup Details (Amount In ₹)

B Surcharge - Debit to A/c / Cheque credited on

D Interest - DD MMM YYYY

E Penalty - Space for bank seal

Total (In Words) Zero Rupees

Branch Name : Cheque No./DD No. :

Name Amount Major Head

Branch Name : CIN : Date :

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