CHALLAN NO.

Tax Applicable Assessment

/ ITNS Year
✔ (0021) INCOME-TAX (OTHER THAN (0020) INCOME-TAX ON
ITNS 280 COMPANIES) COMPANIES(CORPORATION TAX) 2019-20

PAN : AHAPR7173G
Full Name : SHRXXXX PURUSHOTTAM ROTKAR
Complete 101 Shree Regency Jaitala Road Jai badrinath Society Nagpur MAHARASHTRA-440022
Address with
City & State :
Tel. No. : 0

Type of Payment
✔ (100) ADVANCE TAX (106) PROFITS OF DOMESTIC COMPANIES
(300) SELF ASSESSMENT TAX (102) SURTAX
(107) TAX ON DISTRIBUTED INCOME TO UNIT (400) TAX ON REGULAR ASSESSMENT
HOLDERS
(800) TDS ON SALE OF PROPERTY

Details of Payment FOR USE IN RECEIVING BANK

Amount (in Rs. only) Debit to A/c / Cheque credited on
Income Tax: 96,158.00 04/01/2019 (dd/MM/yyyy)
Surcharge: 0.00 Payment Status : Success
Education Cess: 3,846.00 Bank Reference No. : 1612666435
Interest: 0.00 SPACE FOR BANK SEAL
Penalty: 0.00 ICICI Bank
Others: 0.00 Uttam Nagar, New Delhi
Total: 1,00,004.00 CIN
Total (in words): BSR Code : 6390340
Crores Lakhs Thousands Hundreds Tens Units Tender Date : 040119
Zero One Zero Zero Zero Four Challan Serial No. : 50565
Debit to A/c: 624201028091
Date: 04/01/2019 Rs : 1,00,004.00
Internet Banking Payment through
Drawn on: ICICI Bank

Taxpayers Counterfoil Payment Status : Success

PAN: AHAPR7173G Bank Reference No. : 1612666435
SHRXXXX PURUSHOTTAM SPACE FOR BANK SEAL
Received From : ROTKAR ICICI Bank
Paid in Cash / Debit to 624201028091 Uttam Nagar, New Delhi
A/c / Cheque No :
CIN
For Rs. : 1,00,004.00
BSR Code : 6390340
Rupees One Lakh and Four and Zero
Rs (in words) : paise only Tender Date : 040119
Internet Banking Payment through Challan Serial No. : 50565
Drawn On : ICICI Bank
(0021) INCOME-TAX (OTHER THAN
On Account of : COMPANIES)
Rs : 1,00,004.00
Type of Payment : (100) ADVANCE TAX
For the Assessment 2019-20
Year :