This document is an e-Payment Request Form for income tax payments in India. It contains fields for the taxpayer's PAN/TAN numbers and assessment year. It lists various major tax heads and types of payments. The payment details section allows entry of amounts owed for tax, surcharge, education cess, interest, penalty, and others. The total payment amount is calculated at the bottom. Bank details and authorization are also provided.
This document is an e-Payment Request Form for income tax payments in India. It contains fields for the taxpayer's PAN/TAN numbers and assessment year. It lists various major tax heads and types of payments. The payment details section allows entry of amounts owed for tax, surcharge, education cess, interest, penalty, and others. The total payment amount is calculated at the bottom. Bank details and authorization are also provided.
This document is an e-Payment Request Form for income tax payments in India. It contains fields for the taxpayer's PAN/TAN numbers and assessment year. It lists various major tax heads and types of payments. The payment details section allows entry of amounts owed for tax, surcharge, education cess, interest, penalty, and others. The total payment amount is calculated at the bottom. Bank details and authorization are also provided.
This document is an e-Payment Request Form for income tax payments in India. It contains fields for the taxpayer's PAN/TAN numbers and assessment year. It lists various major tax heads and types of payments. The payment details section allows entry of amounts owed for tax, surcharge, education cess, interest, penalty, and others. The total payment amount is calculated at the bottom. Bank details and authorization are also provided.
Please find enclosed Cheque Number _____________ on our Current Account 1. Tax Amount: ________________ No.______________________ Amounting to Rs._______________________ 2. Surcharge: ________________ (Rupees________________________________________________________) 3. Education Cess: ________________ towards CBDT e-Payment. 4. Interest: ________________ 5. Penalty: ________________ We confirm that any discrepancy in the Challan, if any, will be brought to the notice of the Bank within one working day for any rectification. 6. Others: ________________
Total: ________________ Authorised Signatory
For Branch Use Only
Challan Identification Number (CIN): ______________________________________________
Name of the Designated Officer: __________________________ Signature:_______________