tqykbZ 2005 o vkxs ds Hkqxrkuksa ds fy, @ For payments from July 2005 onwards

* egRoiw.kZ % Ñi;k pkyku Hkjus ls igys fVIi.kh ihNs ns[ksa A ,dy izfr¼{ks-ys-vf/kdkjh ds ikl Hkstus ds fy,½ /
Important: Please see notes overleaf before filling up the challan. Single Copy (to be sent to the ZAO)
pkyku la- @ vkbZ mi;qDr dj (,d ij fu'kku yxkosa) @ Tax Applicable (Tick One) * fu/kkZj.k o"kZ
(0020) dEifu;ksa ij vk;dj (fuxe dj)
Vh ,u ,l INCOME-TAX ON COMPANIES Assessment
CHALLAN NO. / (CORPORATION TAX) Year
ITNS (0021) vk;dj (dEifu;ksa ls fHkUu)
-
280 INCOME-TAX (OTHER THAN COMPANIES)
LFkk;h ys[kk la[;k @ Permanent Account Number

iwjk uke @ Full Name

iwjk irk] uxj vkSj jkT; lfgr @ Complete Address with City & State

Qksu u-@Tel. No. fiu@Pin

Hkqxrku funsZ'ku (,d ij fu'kku yxkosa) / Type of Payment (Tick One)
vfrdj @ Surtax (102)
vfxze dj @ Advance Tax (100) ns'kh daifu;ksa ds forfjr ykHk ij dj @ Tax on Distributed
Profits of Domestic Companies (106)
Lo;a fu/kZj.k dj @ Self Assessment Tax (300)
;wfuV /kjdksa dks forfjr vk; ij dj @
fu;fer fu/kZj.k ij dj @ Tax on Regular Assessment (400) Tax on Distributed Income to Unit Holders (107)
Hkqxrku dk fooj.k @ DETAILS OF PAYMENTS izkIrdrkZ cSad esa iz;ksx ds fy;s
jkf'k (dsoy :- esa) @ Amount (in Rs. Only)
FOR USE IN RECEIVING BANK
vk;dj @ Income Tax [kkrs ls MschV @ psd ds ØsfMV dh rkjh[k
Debit to A/c / Cheque credited on
vf/Hkkj @ Surcharge

f'k{kk midj @ Education Cess

rk- / DD ek- / MM o"kZ / YY
C;kt @ Interest
cSad dh eksgj ds fy, LFkku
'kkfLr @ Penalty
SPACE FOR BANK SEAL
vU; @ Others

tksM+ @ Total
tksM+ ('kCnksa esa) @ Total (in words)
djksM @ CRORES yk[k @ LACS
gtkj @ lSdM+k @ ngkbZ @ TENS bdkbZ @ UNITS
THOUSANDS HUNDREDS

udn @ [kkrs ls MschV @ psd la- fnukad

Paid in Cash/ Debit to A/c /Cheque No. Dated
vnkdrkZ cSad @ Drawn on
(cSad ,oa 'kk[kk dk uke) @ (Name of the Bank and Branch)
}kjk tek fd;k A
fnukad @ Date : tek djus okys O;fDr ds gLrk{kj :-@Rs.
Signature of person making payment
;gka ls dkVs a@ Tear Here

djnkrk dk izfri.kZ @ Taxpayers' Counterfoil (djnkrk }kjk Hkjk tk,xk)

(To be filled up by tax payer) cSad dh eksgj ds fy, LFkku
SPACE FOR BANK SEAL
LFkk;h ys[kk la- @ PAN

Received from
(uke) @ (Name)
ls udn@[kkrs ls MschV @ psd la- :-
Cash/ Debit to A/c /Cheque No. for Rs.
#- ('kCnks esa)
Rs. (in words)

vnkdrkZ cSad @ Drawn on

(cSad ,oa 'kk[kk dk uke) @ (Name of the Bank and Branch)
}kjk
on account of
dEifu;ksa@Companies
/ dEifu;ksa ls fHkUu@ Other than Companies dj@Tax
Income Tax on (tks ykxw uk gks mls dkV nsa) @ Strike out whichever is not applicable)
Type of Payment ...................................................... (To be filled up by person making the payment)
ds :i esa fu/kZj.k o"kZ @ for the Assessment Year
–
ds fy, izkIr gqvk :-@Rs.
 *fVIi.kh@NOTES
1. Ñi;k gj izdkj ds Hkqxrku ds fy, vyx&vyx pkyku dk iz;ksx djsa A
Please use a separate challan for each type of payment.

2. Ñi;k uksV djsa fd vkidk LFkk;h ys[kk la[;k n'kkZuk vfuok;Z gS A

Please note that quoting your Permanent Account Number (PAN) is mandatory.

3. Ñi;k uksV djsa fd vk;dj vf/fu;e] 1961 dh /kjk 272 ch ds vuqlkj >wBk LFkk;h ys[kk la[;k
n'kkZus ij 10000@& :i;s ds naM dh O;oLFkk gS A
Please note that quoting false PAN may attract a penalty of Rs. 10,000/- as per section 272B of I.T.
Act, 1961.

4. Ñi;k uksV djsa fd vihy i+Qhl tek djokus gsrq ;k rks eq[; 'kh"kZ 020 ;k 021 (djnkrk dh izkfLFkfr
ij fuHkZj djrk gS) dks ^^mi;qDr dj** ds vUrxZr fpfUgr djuk gS_ ftlds i'pkr_ xkS.k 'kh"kZ_ Lor%
fu/kZj.k dj (300) dks ^Hkqxrku funsZ'ku* ds vUrxZr fpfUgr djuk gS rFkk vU; dss vUrxZr ^Hkqxrku
dk fooj.k* esa jkf'k Hkjuh gS A
Please note that to deposit Appeal Fees either Major Head 020 or 021 (depending upon the tax
payer's status) has to be ticked under 'Tax Applicable'. Followed by this; Minor Head: Self Assess-
ment Tax (300) has to be ticked under 'Type of Payment' and the amount is to be filled under Others
in 'Details of Payments'

5. Cykd vof/ ds ekeyksa esa djks] vihy 'kqYdksa vkfn dks tek djus ds fy, vof/ ds igys fu/kZj.k o"kZ
dk mYys[k djrs gq, Cykd vof/ ds vafre fu/kZj.k o"kZ dh izfof"V djsaA mnkgj.k ds rkSj ij ;fn Cykd
vof/ 1-04-85 ls 5-3-96 rd gS rks fu/kZj.k o"kZ ds fy;s n'kkZ;s x, LFkku esa 1986&97 dh izfof"V djuh
gksxhA ;fn dj tek djok, tk jgs gSa rks Hkqxrku ds izdkj ds vUrxZr Lor% fu/kZj.k dj (300) dks fpfUgr
djsa rFkk ^^dj** ds vUrxZr jkf'k fy[ks tcfd vihy jkf'k ds laca/ esa ^^vU;** ds vUrxZr jkf'k HkjsaA
To deposit taxes, appeal fees, etc. in respect of block period cases, enter the first Assessment Year
of the block period followed by the last Assessment Year of the period. For example, if the block
period is 1/04/85 to 5/3/96, it would be entered as 1986-97 in the space indicated for Assessment
Year. If taxes are being deposited, tick the box Self Assessment (300) under Type of Payment and
fill up amount under 'Tax' while in respect of appeal fees, enter amount under 'Others'.

Ñi;k bl pkyku dk iz;ksx iwoZ i`"B ij n'kkZ;sa djksa (Hkqxrku funs'Z ku) dks tek djkus ds fy, djsaA Ñi;k bl
pkyku dk iz;ksx Ïksr ij dkVs x, dj (Vh Mh ,l) Ïksr dj laxzg.k (Vh-lh-,l-) dks tek djkus ds fy, ugha
djsaA
PLEASE USE THIS CHALLAN FOR DEPOSITING TAXES (TYPES OF PAYMENT) MENTIONED OVERLEAF.
KINDLY DO NOT USE THIS CHALLAN FOR DEPOSITING TAX DEDUCTION AT SOURCE (TDS)

d`i;k tkap djsa fd cSad ikorh esa fuEufyf[kr lwpuk miyC/ gS %&
1- cSad 'kk[kk dk 7 vad dh ch ,l vkj dksM
2- pkyku tek djus dh rkjh[k (fnu] ekg] o"kZ)
3- pkyku Øe la[;k
vkidks bldk vk; dh fooj.kh esa mYys[k djuk gksxkA
KINDLY ENSURE THAT THE BANK'S ACKNOWLEDGEMENT CONTAINS THE
FOLLOWING:-
1. 7 DIGIT BSR CODE OF THE BANK BRANCH
2. DATE OF DEPOSIT OF CHALLAN (DD MM YY)
3. CHALLAN SERIAL NUMBER
THESE WILL HAVE TO BE QUOTED IN YOUR RETUN OF INCOME.