w

w T.D.S./T.C.S. TAX CHALLAN Single(Copy to be sent the ZAO)

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Tax Applicable(Tick One)* Assessment
CHALLAN NO./ TAX DEDUCTED/COLLECTED AT SOURCE FROM Year
2019-20
ITNS 281 (0020) COMPANY DEDUCTEES (0021) NON COMPANY DEDUCTEES a
Tax Deduction Account No. TAN
JDHR10866C
Full Name
RAJASTHAN MEDICARE RELIEF SOCIETY KHATKAR
Complete Address With City and State
BUNDI,RAJASTHAN,323803
Tel. No. Pin 323803

Type of Payment Code* 94c FOR USE IN RECEIVING BANK

TDS/TCS Payable by TaxPayer(200) a debit to A/c /Cheque Credit on
TDS/TCS Regular Assessment(Raised by IT Deptt)(400)
DD MM YY
DETAILS OF PAYMENTS Amount(in Rs.only)
Income Tax
Fee under sec. 234E
Surcharge
Education Cess
Interest
Penalty
Others
Total
Total(in words)
CRORES LACS THOUSANDS HUNDREDS TENS UNITS

Paid in Cash/Debit to Ac/Cheque No Dated

Drawn on BANK OF BARODA,KHATKAR

(Name of Bank and Branch)

Date Signature of person making Payment Rs.

Taxpayers Counterfoil(To be Filed up by the tax payer ) SPACE FOR BANK SEAL
TAN JDHR10866C
Received Form
RAJASTHAN MEDICARE
RELIEF SOCIY KHATKAR
Cash/Debit to Ac/Cheque No For Rs.
Rs in Words
Drawn on
BANK OF BARODA,KHATKAR
Non Company Deductee
On account of Tax Deducted at Source (TDS)/ Tax Collected at source (TCS)
94C
from

for the Assessment Year 2019-20 Code RMRS KHATKAR Rs.

w
w T.D.S./T.C.S. TAX CHALLAN Single(Copy to be sent the ZAO)
w
Tax Applicable(Tick One)* Assessment
CHALLAN NO./ TAX DEDUCTED/COLLECTED AT SOURCE FROM Year
2019-20
ITNS 281 (0020) COMPANY DEDUCTEES (0021) NON COMPANY DEDUCTEES a
Tax Deduction Account No. TAN
JDHB06747G JDHB06747G
Full Name
BLOCK CHIEF MADICAL OFFICER BUNDI
Complete Address With City and State
BUNDI,RAJASTHAN,323001
Tel. No. Pin 323001

Type of Payment Code* 94j FOR USE IN RECEIVING BANK

TDS/TCS Payable by TaxPayer(200) a debit to A/c /Cheque Credit on
TDS/TCS Regular Assessment(Raised by IT Deptt)(400)
DD MM YY
DETAILS OF PAYMENTS Amount(in Rs.only)
Income Tax
Fee under sec. 234E
Surcharge
Education Cess
Interest
Penalty
Others
Total
Total(in words)
CRORES LACS THOUSANDS HUNDREDS TENS UNITS

Paid in Cash/Debit to Ac/Cheque No Dated

Drawn on STATE BANK OF INDIA SBI,BUNDI

(Name of Bank and Branch)

Date Signature of person making Payment Rs.

Taxpayers Counterfoil(To be Filed up by the tax payer ) SPACE FOR BANK SEAL
TAN JDHB06747G
Received Form BLOCK CHIEF MADICAL OFFICER BUNDI
Cash/Debit to Ac/Cheque No For Rs.
Rs in Words
Drawn on STATE BANK OF INDIA SBI,BUNDI
(Name of the Bank and Branch)
Non Company Deductee
On account of Tax Deducted at Source (TDS)/ Tax Collected at source (TCS)
94J
from
for the Assessment Year 2019-20 Code BCMOBUND Rs.