Single(Copy to be sent the ZAO)

Tax Applicable(Tick One)*

CHALLAN NO./ (0020) INCOME-TAX ON COMPANIES Assessment Year
ITNS (CORPORATION TAX)
280 (0021) INCOME TAX  2021-22
(OTHER THAN COMPANIES)
Permanent Account Number
BBQPS5045H BBQPS5045H
Full Name
ARVIND KUMAR SONI
Complete Address With City and State
01,SADAR BAZAR,GANDHI CHOUK,MANASA,NEEMUCH,MADHYA PRADESH
Tel. No. 9406601721 Pin 458110

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 8000 debit to A/c /Cheque Credit on
Surcharge 0
Health & Education Cess 0 DD MM YY
Interest 0 SPACE FOR BANK SEAL
Penalty 0
Others 0
Total 8000
Total(in words)
CRORES LACS THOUSANDS HUNDREDS TENS UNITS
EIGHT ZERO

Paid in Cash/Debit to Ac/Cheque No Dated

Drawn on
(Name of Bank and Branch)

Date 07/09/2020 Signature of person making Payment Rs.

Taxpayers Counterfoil(To be Filed up by the tax payer ) SPACE FOR BANK SEAL
PAN BBQPS5045H
Received From ARVIND KUMAR SONI
Cash/Debit to Ac/Cheque No For Rs. 8000
Rs in Words EIGHT THOUSAND Only
Drawn on
(Name of the Bank and Branch)
On Account of Other than Companies
Income Tax on
Type of Payments Advance Tax
for the Assessment Year 2021-22 Code 982 Rs.