Form 26QB

Property tax payment Request Form

Date :

Location Branch Name

I/we hereby request Kotak Mahindra Bank Ltd. to process the online payment of tax on behalf of the assessee, as per details
given below, either through its own internet banking facility or through the internet banking facility of any other
authorized bank, with which Kotak Mahindra Bank has a tie-up for the purpose of online payment of taxes, as per the
following details

TYPE OF PAYMENT - (800) TDS ON SALE OF PROPERTY

Acknowledgement Details :
AAAPD0701D
PAN of Transferee (Payer/Buyer)*

Name of Transferee (Payer/Buyer) * Sanjiv Dheer

PAN of Transferor (Payee/Seller)* ASCPS3473K

Name of Transferor (Payee/Seller)* Mrs. Chandana Pathak Sharma

Acknowledgment No. *

Assessment Year * 2017-18

TDS Amount to be paid* 1081500

Interest

Fee

Total payment * 5250000

Amt in words * Ten Lakh Eighty One Thousand Five Hundred only

Kotak Mahidra Bank Account Details (of account to be debited)

Account Name e-mail ID *

CR Contact
Account No.*
N No.

Please Note
1 Fields marked with * are mandatory
Steps :
1. Login to NSDL site https://onlineservices.tin.nsdl.com/etaxnew/tdsnontds.jsp & click on Form 26QB
2. Enter all the details correctly.
3. Select e-tax payment on subsequent date ( e-payment of taxes by visiting any of the Bank branches )
under Mode of Payment
4. Click on Proceed Button
5. Take printout of the Acknowledgment slip and fill the above details, submit at Kotak Bank Branch.

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KMBL/Apr-2015/V1.0
 Terms & Conditions:
1. This is only a tax payment request form and can not be construed as or substituted for statutory challans.

2. Cut off time: All requests received upto 4:30 PM, shall be processed only on the next working day. For all tax types
having a last date for making payment, kindly submit your request one day prior to the last date, to avoid late payment
charges as may be applicable by the respective Tax department.

3. Charges: This service is provided to our customers at a nominal charge of Rs 100/- (Rupees One Hundred Only) per Tax
Payment Request Form. (Service tax & education cess as applicable shall be charged extra)

4. Issue of Challan Counterfoils: It shall be emailed to your email address mentioned in this form. If email address is not
provided then the counterfoil shall have to be collected from the branch after 3 working days.

5. The Tax Payment Request Form has to be duly signed & stamped by all authorized signatories to the account, as per the
Mode of Operation on the account. No requests shall be executed even if a single signatory to the account has not signed
& stamped the form.

6. This request shall be processed subject to availablity of sufficient funds in the account to be debited only.

7. The onus of providing correct & complete information/ details like account no., total amount to be debited, amounts to
be debited under each challan no., tax type, tax applicable & type of payment, PAN no. (as applicable), tax deduction
account no. etc., solely lies with the customers & any errors/ losses/ penalties/ late payment fees/ delay payment charges
etc. due to late payment or non-payment of customers tax arising out of such errors caused due to providing incorrect/
incomplete information/ details, shall be customers sole responsibility. Kotak Mahindra Bank Ltd. shall not be held liable
in any such cases.

Undertaking:
I/we have understood & agree to the terms & conditions mentioned above. I/we further authorize Kotak Mahindra Bank
Ltd. to debit my/our account with the Bank towards the charges for Online Tax Payment Service.

Date : ______________

Place : ______________

Sign & Stamp

Name Authorized Signatory 1 Authorized Signatory 2

Sign & Stamp

Name Authorized Signatory 3 Authorized Signatory 4

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Kotak Mahindra Bank Ltd. CIN: L65110MH1985PLC03813 Registered Office: 27 BKC, C 27, G Block, Bandra Kurla Complex, Bandra (E), Mumbai - 400 051. www.kotak.com

KMBL/Apr-2015/V1.0