Professional Documents
Culture Documents
Single Copy (to be sent to the ZAO) Tax Applicable (Tick One)*
(0034) SECURITIES TRANSACTION TAX (0023) HOTEL RECEIPTS TAX (0024) INTEREST TAX (0028) EXPENDITURE/OTHER TAX
FinancialYear
(0031) ESTATE DUTY
F D G H A S W A L A H .
Assessment Year* 2 0 0 9 - 1
K H A L I T Y
Complete Address with City & State T E R R A C E , W . M A R G , F O R T , Pin Type of Payment (Tick One) Advance Tax (100) Self Assessment Tax (300)
DETAILS OF PAYMENTS
M U M B A I Tel. No. 4 0 0 0 0 1
Tax Surcharge Education Cess Interest Penalty Others Total Total (in words)
CRORES LACS THOUSANDS HUNDREDS TENS
3 2
UNITS
SEVEN THREE THREE TWO 407120 Dated 20.10.2009 ICICI BANK (Name of the Bank and Branch) Rs. Signature of person making payment SPACE FOR BANK SEAL
Rs.
*NOTES 1. 2. 3. 4. 5. Please use a separate challan for each type of payment. Please note that quoting your Permanent Account Number (PAN) is mandatory. Stock Exchange and Mutual Funds while depositing Securities Transaction Tax, may tick (0034) Securities Transaction Tax and Self Assessment Tax (300) under Type of Payment. Please note that quoting false PAN may attract a penalty of Rs. 10,000/- as per section 272B of I.T. Act, 1961 Tax payers may please draw/issue Cheque/DDs towards payment of income-tax as under: Pay _________________ (Name of the bank where the Challan in being deposited) A/c Income-tax
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) KINDLY ENSURE THAT THE BANKS ACKNOWLEDGEMENT CONTAINS THE FOLLOWING:1. 2. 3. 7 DIGIT BSR CODE OF THE BANK BRANCH DATE OF DEPOSIT OF CHALLAN (DD MM YY) CHALLAN SERIAL NUMBER