T.D.S. / T.C.S.
Tax Challan (Tick One) Single Copy (to be sent to the ZAO)
Challan No./
Assessment Year
ITNS TAX DEDUCTED / COLLECTED AT SOURCE FROM
281 ¥ Company Deductees (0020) Non-Company Deductees (0021) 2 0 0 9 - 1 0
Tax Deduction Account No. (T.A.N.) : ABMP23541A
Full Name : Demo Company Private Limited
Address : 205 - 2nd Floor Ramesh Chambers
M.G. Road Vatva
AHMEDABAD - GUJARAT - 380000
Tel. No. : 26542618 Pin Code : 380000
Type of Payment Code : 94J
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 3 7 4 9
SPACE FOR BANK SEAL
Surcharge 3 7 5
Education Cess 1 2 2
Interest 0
Penalty 0
Others 0
Total 4 2 4 6
Total (in words)
Crores Lacs Thousands Hundreds Tens Units
- - Four Two Four Six
Paid in Cash / Debit to A/c / Cheque No. : 132003 Dated:
Drawn on : State Bank of India - AHMEDABAD- ASHRAM ROAD Rs.
(Name of the Bank and Branch)
Date. : 20-10-2008 Signature of person making payment
Taxpayers Counterfoil (To be filled up by tax payer) SPACE FOR BANK SEAL
TAN : ABMP23541A
Received from : Demo Company Private Limited
Cash/ Debit to A/c /Cheque No. : 132003 for Rs. : 4,246.00
Rs.(in words): Four Thousand Two Hundred Fourty Six Only
Drawn on : State Bank of India - AHMEDABAD- ASHRAM ROAD
(Name of the Bank and Branch)
¥ Company Deductees (0020) Non-Company Deductees (0021)
on account of TDS/TCS from : 94J (Fill Up Code)
for the Assessment Year : 2009-10 Date. : 20-10-08 Rs.
Tax- 3,749 S.C.- 375 E.C.- 122