Single Copy (to be sent to the ZAO)

T.D.S./TCS TAX CHALLAN

CHALLAN Tax Applicable (Tick One)*

No./ TAX DEDUCTED/COLLECTED AT SOURCE FROM Assessment Year

(0020) COMPANY (0021) NON-COMPANY 2 0 1 0 - 1 1
ITNS 281 DEDUCTEES DEDUCTEES √
Tax Deduction Account No. (T.A.N.)

Full Name

Complete Address with City & State

Tel. No. Pin

Type of Payment Code *

TDS/TCS Payable By Taxpayer (200)

TDS/TCS Regular Assessment (Raised by I.T. Deptt.) (400)

DETAILS OF PAYMENT Amount (in Rs. Only) For Use in Receiving Bank
Income Tax Debit to A/c / Cheque creditted on
Surcharge - -
Education Cess D D M M Y Y Y Y
Interest
SPACE FOR BANK SEAL
Penalty
Others
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 & Branch)

Date: Rs. :
(Signature of the person making payment)
Taxpayers Counterfoil (to be filled up by tax payer) SPACE FOR BANK SEAL
TAN
Received From
(Name)
Cash/Debit to A/c/ Cheque No. For Rs.
Rs. (in Words)

Drawn on
(Name of the Bank & Branch)
on account of
Code
For the Assessment Year - Rs. :