TDS / TCS Tax Challan (Tick One)

Challan No./ Assessment Year

ITNS TAX DEDUCTED / COLLECTED AT SOURCE FROM
-
281
Company Deductees (0020) Non-Company Deductees (0021)

Tax Deduction Account No. (T.A.N.) :

Full Name :

Address :

Tel. No. : Pin Code. :

Type of Payment : Section Code :

FOR USE IN RECEIVING BANK
TDS/TCS Payable by TaxPayer (200)
Debit to A/c / Cheque Credited on
TDS/TCS Regular Assessment Raised By IT Dept. (400)
Details of Payment Amount (in Rs. Only)
DD MM YY
Income Tax
SPACE FOR BANK SEAL
Surcharge

Education Cess

Interest

Penalty

Others

Total

Total in Words

Crore Lacs Thousands Hundreds Tens Units

Paid in Cash / Debit to A/C / Cheque No. : Date:

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

Date : Signature of person making payment

Taxpayers Counterfoil (To be filled up by tax payer) SPACE FOR BANK SEAL
TAN :
Received from :

Cash/ Debit to A/C /Cheque No. : for Rs. :

Rs.(in words):

Drawn on :

(Name of the Bank and Branch)

Company Deductees (0020) Non-Company Deductees (0021)

on account of TDS/TCS from : (Fill Up Code)

Rs.
for the Assessment Year : Date :