Tds Challan 281 Excel Format

* Important : Please see notes T.D.S.
/TCS TAX CHALLAN Single Copy (to be sent to

overleaf before filling up the the ZAO)
challan
CHALLAN NO./ Tax Applicable (Tick One)*
ITNS TAX DEDUCTED/COLLECTED AT SOURCE FROM Assessment Year
281 (0020) COMPANY (0021) NON-COMPANY 2 0 1 4 - 1 5
DEDUCTEES DEDUCTEES
Tax Deduction Account No. (T.A.N.)
C H E A 0 3 7 2 2F
Full Name
ADHIPARASAKTHI CHARITABLE MEDICAL EDUCATIONAL AND CULTURAL TRUST
Complete Address with City & State
9. TEMPLE COMPLEX, GST ROAD MELMARUVATHUR
Tel. No. 2 7 5 2 9 3 1 3 Pin 6 03 3 1 9

Type of Payment Code * 9 4 J
(Tick One) (Please see overleaf)
TDS/TCS Payable by Taxpaye(200) FOR USE IN RECEIVING BANK
TDS/TCS Regular Assessment (Raised by I.T. Deptt.) (400) - -
DETAILS OF PAYMENTS Amount (in Rs. Only) D D M M Y Y

Income Tax 3 0 5 2 5
Surcharge SPACE FOR BANK SEAL
Education Cess
Interest
Penalty
Total 3 0 5 2 5
Total (in words)
CRORES LACS THOUSANDS HUNDREDS TENS UNITS
THIRTY FIVE TWO FIVE
Paid in Cash/Debit to A/c /Cheque No. 358069 Dated 10.3.14
Drawn on CENTRAL BANK OF INDIA , MELMARUVATHUR
(Name of the Bank and Branch)
Date: 17.3.2014
Signature of person making payment Rs.
Taxpayers Counterfoil (To be filled up by tax payer) SPACE FOR BANK SEAL
TAN C H E A 0 3 7 2 2 F
Received from ADHIPARASAKTHI CHARITABLE MEDICAL EDUCATIONAL & CULTURAL TRUST
(Name)
Cash/ Debit to A/c /Cheque No. 358069 For Rs. 30525
Rs. (in words) THIRTY THOUSAND FIVE HUNDRED AND TWENTY FIVE ONLY
Company/Non-Company Deductees
on account of Tax Deducted at Source (TDS)/Tax Collected at Source (TCS) from 94 J____(Fill up Code)
(Strike out whichever is not applicable)
for the Assessment Year 2 0 14 - 1 5 Rs.
Source: www.taxguru.in
*NOTES
1. Please note that quoting false TAN may attract a penalty of Rs. 10,000/- as per section 272BB of I.T. Act, 1961
2. Use a Separate Challan for each Nature (Type) of Payment. The relevant Codes are:
Section Nature of Payment Code
192 Payment to Govt. Employees other than Union Government Employees 9 2 A
192 Payment of Employees other than Govt. Employees 9 2 B
193 Interest on securities 1 9 3
194 Dividend 1 9 4
194A Interest other than interest on securities 9 4 A
194B Winnings from lotteries and crossword puzzles 9 4 B
194BB Winnings from horse race 4 B B
194C Payment of contractors and sub-contractors 9 4 C
194D Insurance Commission 9 4 D
194E Payments to non-resident Sportsmen/Sport Associations 9 4 E
194EE Payments in respect of Deposits under National Savings Schemes 4 E E
194F Payments on account of Re-purchase of Units by Mutual Funds or UTI 9 4 F
194G Commission, prize etc., on sale of Lottery tickets 9 4 G
194H Commission or Brokerage 9 4 H
194I Rent 9 4 I
194J Income
Fees forpayable to a resident
Professional assessee
or Technical in respect of Units of a specified
Services 9 4 J
194K Mutual Fund or of the Units of the UTI 9 4 K
Mutual Fund or of the Units of the UTI
194LA Payment of Compensation on acquisition of certain immovable property 9 4 L
195 Other sums payable to a non-resident 1 9 5
196A Income in respect of units of Non-Residents 9 6 A
196B Payments in respect of Units to an Offshore Fund 9 6 B
196C Income from foreign Currency Bonds or shares of Indian Company 9 6 C
payable to Non-Resident
196D Income of foreign institutional investors from securities 9 6 D
206C Collection at source from Alcoholic Liquor for Human Consumption 6 C A
206C Collection at source from Timber obtained under Forest lease 6 C B
206C Collection at source from Timber obtained by any Mode other than a Forest Lease 6 C C
206C Collection at source from any other Forest Produce (not being Tendu Leaves) 6 C D
206C Collection at source from Scrap 6 C E
206C Collection at source from contractors or licensee or lease relating to Parking lots 6 C F
206C Collection at source from contractors or licensee or lease relating to toll plaza 6 C G
206C Collection at source from contractors or licensee or lease relating to mine or quarry 6 C H
206C Collection at source from tendu leaves 6 C I
PLEASE TICK THE RELEVANT BOX AT THE TOP OF THE CHALLAN. SEPARATE CHALLANS SHOULD BE
USED
FOR DEPOSITING TAX DEDUCTED AT SOURCE FROM COMPANY DEDUCTEES AND FROM NON-COMPANY
DEDUCTEES
KINDLY ENSURE THAT THE BANKS 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 RETURN OF INCOME.
* Important : Please see notes T.D.S./TCS TAX CHALLAN Single Copy (to be sent to
challan
DEDUCTEES DEDUCTEES
C H E A 0 3 7 2 2F
Full Name
Tel. No. 2 7 5 2 9 3 1 3 Pin 6 03 3 1 9

Type of Payment Code * 9 4 C

Education Cess
Interest
Penalty
Total 1 9 1 4 0
Total (in words)
NINTEEN ONE FOUR ZERO
Date: 17.3.2014
TAN C H E A 0 3 7 2 2 F
(Name)
Rs. (in words) NINTEEN THOUSAND ONE HUNDRED AND FORTY ONLY
on account of Tax Deducted at Source (TDS)/Tax Collected at Source (TCS) from 94 C____(Fill up Code)
*NOTES
194 Dividend 1 9 4
194I Rent 9 4 I
Income
Fees forpayable to a resident assessee in respect of Units of a specified
194J Professional or Technical Services 9 4 J
USED
DEDUCTEES


challan
281 (0020) COMPANY (0021) NON-COMPANY 2 0 1 4 -
DEDUCTEES DEDUCTEES
C H E A 0 3 7 2 2F
Full Name
Tel. No. 2 7 5 2 9 3 1 3 Pin 6 03 3


Education Cess
Interest
Penalty
Total 3 0 5 2 5
Total (in words)
THIRTY FIVE TWO FIVE
Date: 17.3.2014
TAN C H E A 0 3 7 2 2 F
(Name)
Rs. (in words) THIRTY THOUSAND FIVE HUNDRED AND TWENTY FIVE ONLY
*NOTES
194 Dividend 1 9 4
194I Rent 9 4 I
Income
USED
DEDUCTEES


e Copy (to be sent to
AO)
ssessment Year
1 5
1 9
CEIVING BANK
BANK SEAL
BANK SEAL
Act, 1961
Code
SHOULD BE
NON-COMPANY
challan
DEDUCTEES DEDUCTEES
C H E A 0 3 7 2 2F
Full Name
Tel. No. 2 7 5 2 9 3 1 3 Pin 6 03 3 1 9


Education Cess
Interest
Penalty
Total 2 3 1 6 2
Total (in words)
TWENTY THREE ONE SIX TWO
Date: 8.4.14
TAN C H E A 0 3 7 2 2 F
(Name)
Rs. (in words) TWENTY THREE THOUSAND ONE HUNDRED AND SIXTY TWO ONLY
*NOTES
194 Dividend 1 9 4
194I Rent 9 4 I
Income payable to a resident assessee in respect of Units of a specified
194J Fees for Professional or Technical Services 9 4 J
USED
DEDUCTEES


challan
DEDUCTEES DEDUCTEES
C H E A 0 3 7 2 2F
Full Name
Tel. No. 2 7 5 2 9 3 1 3 Pin 6 03 3 1 9

Type of Payment Code * 9 4 I

Income Tax 3 7 1 2
Education Cess
Interest
Penalty
Total 3 7 1 2
Total (in words)
THREE SEVEN ONE TWO
Date: 6.5.2014
TAN C H E A 0 3 7 2 2 F
(Name)
Rs. (in words) THREE THOUSAND SEVEN HUNDRED AND TWELVE ONLY
on account of Tax Deducted at Source (TDS)/Tax Collected at Source (TCS) from 94 I____(Fill up Code)
*NOTES
194 Dividend 1 9 4
194I Rent 9 4 I
194J Income
Services 9 4 J
USED
DEDUCTEES


challan
DEDUCTEES DEDUCTEES
C H E A 0 3 7 2 2F
Full Name
Tel. No. 2 7 5 2 9 3 1 3 Pin 6 03 3 1 9

TDS/TCS Payable by Taxpay (200) FOR USE IN RECEIVING BANK

Income Tax 1 0 0 0 0 0
Education Cess
Interest
Penalty
Total 1 0 0 0 0 0
Total (in words)
ONE ZERO ZERO ZERO ZERO
Date: 8.4.14
TAN C H E A 0 3 7 2 2 F
(Name)
Rs. (in words) ONE LAKH ONLY
*NOTES
194 Dividend 1 9 4
194I Rent 9 4 I
194J Income
Services 9 4 J
USED
DEDUCTEES


challan
DEDUCTEES DEDUCTEES
C H E A 1 4 8 2 7B
Full Name
ADHIPARASAKTHI CHARITABLE & ANNADHANAM SOCIETY
Tel. No. 2 7 5 2 9 3 1 3 Pin 6 03 3 1 9


Education Cess
Interest
Penalty
Total 8 8 0 0 0
Total (in words)
EIGHTY EIGHT ZERO ZERO ZERO
Date: 12.4.2014
TAN C H E A 1 4 8 2 7 B
Received from ADHIPARASAKTHI CHARITABLE & ANNADHANAM SOCIETY
(Name)
Rs. (in words) TWENTY THREE THOUSAND ONE HUNDRED AND SIXTY TWO ONLY
*NOTES
194 Dividend 1 9 4
194I Rent 9 4 I
194J Income
Services 9 4 J
USED
DEDUCTEES


challan
DEDUCTEES DEDUCTEES
C H E A 0 3 7 2 2F
Full Name
Tel. No. 2 7 5 2 9 3 1 3 Pin 6 03 3 1 9


Income Tax 6 5 8
Education Cess
Interest
Penalty
Total 6 5 8
Total (in words)
SIX FIVE EIGHT
Date: 8.4.14
TAN C H E A 0 3 7 2 2 F
(Name)
Rs. (in words) SIX HUNDRED AND FIFTY EIGHT ONLY
*NOTES
194 Dividend 1 9 4
194I Rent 9 4 I
194J Income
Services 9 4 J
USED
DEDUCTEES


challan
DEDUCTEES DEDUCTEES
C H E A 0 3 7 2 2F
Full Name
Tel. No. 2 7 5 2 9 3 1 3 Pin 6 03 3 1 9


Income Tax 1 8 8 9
Education Cess
Interest
Penalty
Total 1 8 8 9
Total (in words)
ONE EIGHT EIGHT NINE
Date: 6.5.2014
TAN C H E A 0 3 7 2 2 F
(Name)
Rs. (in words) ONE THOUSAND EIGHT HUNDRED AND EIGHTY NINE ONLY
*NOTES
194 Dividend 1 9 4
194I Rent 9 4 I
194J Income
Services 9 4 J
USED
DEDUCTEES


challan
DEDUCTEES DEDUCTEES
C H E A 0 3 7 2 2F
Full Name
Tel. No. 2 7 5 2 9 3 1 3 Pin 6 03 3 1 9


Income Tax 5 4 2 8
Education Cess
Interest
Penalty
Total 5 4 2 8
Total (in words)
FIVE FOUR TWO EIGHT
Date: 6.5.2014
TAN C H E A 0 3 7 2 2 F
(Name)
Rs. (in words) FIVE THOUSAND FOUR HUNDRED AND TWENTY EIGHT ONLY
*NOTES
194 Dividend 1 9 4
194I Rent 9 4 I
USED
DEDUCTEES


challan
DEDUCTEES DEDUCTEES
C H E A 0 3 7 2 2F
Full Name
Tel. No. 2 7 5 2 9 3 1 3 Pin 6 03 3 1 9


Income Tax 8 0 1 5
Education Cess
Interest
Penalty
Total 8 0 1 5
Total (in words)
EIGHT ZERO ONE FIVE
Date: 10.6.14
TAN C H E A 0 3 7 2 2 F
(Name)
Rs. (in words) EIGHT THOUSAND AND FIFTEEN ONLY
*NOTES
194 Dividend 1 9 4
194I Rent 9 4 I
Income
USED
DEDUCTEES


challan
DEDUCTEES DEDUCTEES
C H E A 0 3 7 2 2F
Full Name
Tel. No. 2 7 5 2 9 3 1 3 Pin 6 03 3 1 9


Education Cess
Interest
Penalty
Total 1 9 0 7 6
Total (in words)
NINTEEN ZERO SEVEN SIX
Date: 10.06.2014
TAN C H E A 0 3 7 2 2 F
(Name)
Rs. (in words) NINTEEN THOUSAND AND SEVENTY SIX ONLY
*NOTES
194 Dividend 1 9 4
194I Rent 9 4 I
194J Income
Services 9 4 J
USED
DEDUCTEES


challan

DEDUCTEES DEDUCTEES
C H E A 0 3 7 2 2F
Full Name
Tel. No. 2 7 5 2 9 3 1 3 Pin 6 03 3 1 9


Income Tax 8 4 3
Education Cess
Interest
Penalty
Total 8 4 3
Total (in words)
EIGHT FOUR THREE
Date: 10.06.2014
TAN C H E A 0 3 7 2 2 F
(Name)
Rs. (in words) EIGHT HUNDRED FORTY THREE ONLY
*NOTES
194 Dividend 1 9 4
194I Rent 9 4 I
Income
USED
DEDUCTEES


challan
DEDUCTEES DEDUCTEES
C H E A 0 3 7 2 2F
Full Name
Tel. No. 2 7 5 2 9 3 1 3 Pin 6 03 3 1 9


Education Cess
Interest
Penalty
Total 2 5 6 0 1
Total (in words)
TWENTY FIVE SIX ZERO ONE
Date: 7.7.14
TAN C H E A 0 3 7 2 2 F
(Name)
Rs. (in words) TWENTY FIVE THOUSAND SIX HUNDRED ONE ONLY
challan
DEDUCTEES DEDUCTEES
C H E A 0 3 7 2 2F
Full Name
Tel. No. 2 7 5 2 9 3 1 3 Pin 6 03 3 1 9


Education Cess
Interest
Penalty
Total 2 7 4 4 0
Total (in words)
TWENTY SEVEN FOUR FOUR ZERO
Date: 07.07.2014
TAN C H E A 0 3 7 2 2 F
(Name)
Rs. (in words) TWENTY SEVEN THOUSAND FOUR HUNDRED FORTY ONLY
challan

DEDUCTEES DEDUCTEES
C H E A 0 3 7 2 2F
Full Name
Tel. No. 2 7 5 2 9 3 1 3 Pin 6 03 3 1 9


Income Tax 5 4 1 5
Education Cess
Interest
Penalty
Total 5 4 1 5
Total (in words)
FIVE FOUR ONE FIVE
Date: 7.7.14
TAN C H E A 0 3 7 2 2 F
(Name)
Rs. (in words) FIVE THOUSAND FOUR HUNDRED FIFTEENONLY
challan
DEDUCTEES DEDUCTEES
C H E A 0 3 7 2 2F
Full Name
Tel. No. 2 7 5 2 9 3 1 3 Pin 6 03 3 1 9


Education Cess
Interest
Penalty
Total 9 1 4 9 0
Total (in words)
NINTY ONE FOUR NINE ZERO
Date: 23.8.14
TAN C H E A 0 3 7 2 2 F
(Name)
Rs. (in words) NINTY ONE THOUUSAND FOUR HUNDRED AND NINTY ONLY
*NOTES
194 Dividend 1 9 4
194I Rent 9 4 I
Income
USED
DEDUCTEES


challan

DEDUCTEES DEDUCTEES
C H E A 0 3 7 2 2F
Full Name
Tel. No. 2 7 5 2 9 3 1 3 Pin 6 03 3 1 9


Income Tax 9 4 3 0
Education Cess
Interest
Penalty
Total 9 4 3 0
Total (in words)
NINE FOUR THREE ZERO
Date: 23.8.14
TAN C H E A 0 3 7 2 2 F
(Name)
Rs. (in words) NINE THOUSAND FOUR HUNDRED AND THIRTY ONLY
*NOTES
194 Dividend 1 9 4
194I Rent 9 4 I
Income
USED
DEDUCTEES


challan
DEDUCTEES DEDUCTEES
C H E A 0 3 7 2 2F
Full Name
Tel. No. 2 7 5 2 9 3 1 3 Pin 6 03 3 1 9


Income Tax 8 5 4 4
Education Cess
Interest
Penalty
Total 8 5 4 4
Total (in words)
EIGHT FIVE FOUR FOUR
Date: 23.8.2014
TAN C H E A 0 3 7 2 2 F
(Name)
Rs. (in words) EIGHT THOUSAND FIVE HUNDERED AND FORTY FOUR ONLY
*NOTES
194 Dividend 1 9 4
194I Rent 9 4 I
194J Income
Services 9 4 J
PLEASE TICK THE RELEVANT BOX AT THE TOP OF THE CHALLAN. SEPARATE CHALLANS SHOULD BE USED
DEDUCTEES


challan
DEDUCTEES DEDUCTEES
C H E A 0 3 7 2 2F
Full Name
Tel. No. 2 7 5 2 9 3 1 3 Pin 6 03 3 1 9


Education Cess
Interest
Penalty
Total 2 4 9 9 4
Total (in words)
TWENTY FOUR NINE NINE FOUR
Date: 06.09.2014
TAN C H E A 0 3 7 2 2 F
(Name)
Rs. (in words) TWENTY FOUR THOUSAND NINE HUNDRED AND NINTY FOUR ONLY
*NOTES
194 Dividend 1 9 4
194I Rent 9 4 I
194J Income
Services 9 4 J
USED
DEDUCTEES


challan
281 (0020) COMPANY (0021) NON-COMPANY 2 0 1 5 - 1
DEDUCTEES DEDUCTEES
C H E A 0 3 7 2 2F
Full Name
Tel. No. 2 7 5 2 9 3 1 3 Pin 6 03 3 1


Income Tax 5 8 4 0
Education Cess
Interest
Penalty
Total 5 8 4 0
Total (in words)
FIVE EIGHT FOUR ZERO
Date: 06.09.2014
TAN C H E A 0 3 7 2 2 F
(Name)
Rs. (in words) FIVE THOUSAND EIGHT HUNDRED AND FORTY ONLY
*NOTES
194 Dividend 1 9 4
194I Rent 9 4 I
194J Income
Services 9 4 J
DEDUCTEES


py (to be sent to
ment Year
6
VING BANK
NK SEAL
NK SEAL
Code
ULD BE USED
-COMPANY
challan
DEDUCTEES DEDUCTEES
C H E A 0 3 7 2 2F
Full Name
Tel. No. 2 7 5 2 9 3 1 3 Pin 6 03 3 1 9


Education Cess
Interest
Penalty
Total 1 9 1 5 2
Total (in words)
NINTEEN ONE FIVE TWO
Date: 06.09.2014
TAN C H E A 0 3 7 2 2 F
(Name)
Rs. (in words) NINTEEN THOUSAND ONE HUNDRED AND FIFTY TWO ONLY
*NOTES
194 Dividend 1 9 4
194I Rent 9 4 I
194J Income
Services 9 4 J
USED
DEDUCTEES


challan
DEDUCTEES DEDUCTEES
C H E A 0 3 7 2 2F
Full Name
Tel. No. 2 7 5 2 9 3 1 3 Pin 6 03 3 1 9


Education Cess
Interest
Penalty
Total 1 1 9 8 8 2
Total (in words)
ONE NINTEEN EIGHT EIGHT TWO
Date: 10/07/2014
TAN C H E A 0 3 7 2 2 F
(Name)
Rs. (in words) ONE LAKH NINETEEN THOUSAND EIGHT HUNDRED EIGHTY TWO ONLY
*NOTES
194 Dividend 1 9 4
194I Rent 9 4 I
194J Income
Services 9 4 J
USED
DEDUCTEES


challan

DEDUCTEES DEDUCTEES
C H E A 0 3 7 2 2F
Full Name
Tel. No. 2 7 5 2 9 3 1 3 Pin 6 03 3 1 9


Income Tax 2 0 0 0
Education Cess
Interest
Penalty
Total 2 0 0 0
Total (in words)
TWO ZERO ZERO ZERO
Date: 07.10.2014
TAN C H E A 0 3 7 2 2 F
(Name)
Rs. (in words) TWO THOUSAND ONLY
*NOTES
194 Dividend 1 9 4
194I Rent 9 4 I
194J Income
Services 9 4 J
USED
DEDUCTEES


challan
DEDUCTEES DEDUCTEES
C H E A 0 3 7 2 2F
Full Name
Tel. No. 2 7 5 2 9 3 1 3 Pin 6 03 3 1 9

TDS/TCS Payable by Taxp(200) FOR USE IN RECEIVING BANK

Education Cess
Interest
Penalty
Total 1 4 8 1 9
Total (in words)
FOURTEEN EIGHT ONE NINE
Paid in Cash/Debit to A/c /Cheque 61579 Dated 06.10.2014
Drawn on CENTRAL BANK OF INDIA , MELMARU
Date: 07.10.2014
TAN C H E A 0 3 7 2 2 F
Received fromADHIPARASAKTHI CHARITABLE MEDICAL EDUCATIONAL &
(Name)
Cash/ Debit to A/c /Cheque N61579 For Rs. 14819
Rs. (in words) FOURTEEN THOUSAND EIGHT HUNDRED AND NINTEEN ONLY
for the Assessment Year 2 0 1 5 - 1 6 Rs.
challan
DEDUCTEES DEDUCTEES
C H E A 0 3 7 2 2F
Full Name
Tel. No. 2 7 5 2 9 3 1 3 Pin 6 03 3 1 9


Education Cess
Interest
Penalty
Total 4 4 5 0 9
Total (in words)
FORTHY FOUR FIVE ZERO NINE
Date: 08.11.14
TAN C H E A 0 3 7 2 2 F
(Name)
Rs. (in words) FORTY FOUR THOUSAND FIVE HUNDRED AND NINE ONLY
challan

DEDUCTEES DEDUCTEES
C H E A 0 3 7 2 2F
Full Name
Tel. No. 2 7 5 2 9 3 1 3 Pin 6 03 3 1 9


Income Tax 4 4 3 0
Education Cess
Interest
Penalty
Total 4 4 3 0
Total (in words)
FOUR FOUR THREE ZERO
Date: 8.11.14
TAN C H E A 0 3 7 2 2 F
(Name)
Rs. (in words) FOUR THOUSAND FOUR HUNDRED AND THIRTY ONLY
challan
DEDUCTEES DEDUCTEES
C H E A 0 3 7 2 2F
Full Name
Tel. No. 2 7 5 2 9 3 1 3 Pin 6 03 3 1 9


Income Tax 6 5 7 6
Education Cess
Interest
Penalty
Total 6 5 7 6
Total (in words)
SIX FIVE SEVEN SIX
Date: 8.11.14
TAN C H E A 0 3 7 2 2 F
(Name)
Rs. (in words) SIX THOUSAND FIVE HUNDED AND SEVENTY SIX ONLY
challan
DEDUCTEES DEDUCTEES
C H E A 0 3 7 2 2F
Full Name
Tel. No. 2 7 5 2 9 3 1 3 Pin 6 03 3 1 9


Income Tax 7 3 5 3
Education Cess
Interest
Penalty
Total 7 3 5 3
Total (in words)
SEVEN THREE FIVE THREE
Date: 8.12.14
TAN C H E A 0 3 7 2 2 F
(Name)
Rs. (in words) SEVEN THOUSAND THREE HUNDRED AND FIFTY THREE ONLY
*NOTES
194 Dividend 1 9 4
194I Rent 9 4 I
Income
USED
DEDUCTEES


challan

DEDUCTEES DEDUCTEES
C H E A 0 3 7 2 2F
Full Name
Tel. No. 2 7 5 2 9 3 1 3 Pin 6 03 3 1 9


Education Cess
Interest
Penalty
Total 1 1 3 7 8
Total (in words)
ELEVEN THREE SEVEN EIGHT
Date: 8.12.14
TAN C H E A 0 3 7 2 2 F
(Name)
Rs. (in words) ELEVEN THOUSAND THREE HUNDRED AND SEVENTY EIGHT ONLY
*NOTES
194 Dividend 1 9 4
194I Rent 9 4 I
Income
USED
DEDUCTEES


challan

DEDUCTEES DEDUCTEES
C H E A 0 3 7 2 2F
Full Name
Tel. No. 2 7 5 2 9 3 1 3 Pin 6 03 3 1 9


Income Tax 2 5 0 0
Education Cess
Interest
Penalty
Total 2 5 0 0
Total (in words)
TWO FIVE ZERO ZERO
Date: 8.12.14
TAN C H E A 0 3 7 2 2 F
(Name)
Rs. (in words) TWO THOUSAND FIVE HUNDRED ONLY
*NOTES
194 Dividend 1 9 4
194I Rent 9 4 I
Income
USED
DEDUCTEES


challan
DEDUCTEES DEDUCTEES
C H E A 0 3 7 2 2F
Full Name
Tel. No. 2 7 5 2 9 3 1 3 Pin 6 03 3 1 9


Education Cess
Interest
Penalty
Total 7 8 3 2 1
Total (in words)
SEVENTY EIGHT THREE TWO ONE
Paid in Cash/Debit to A/c /Cheque No. 66922 Dated 01/05/2015
Date: 10.1.15
TAN C H E A 0 3 7 2 2 F
(Name)
Rs. (in words) SEVENTHY EIGHT THOUSAND THREE HUNDRED AND TWENTY ONE ONLY
*NOTES
194 Dividend 1 9 4
194I Rent 9 4 I
194J Income
Services 9 4 J
USED
DEDUCTEES


challan

DEDUCTEES DEDUCTEES
C H E A 0 3 7 2 2F
Full Name
Tel. No. 2 7 5 2 9 3 1 3 Pin 6 03 3 1 9


Income Tax 8 0 9 5
Education Cess
Interest
Penalty
Total 8 0 9 5
Total (in words)
EIGHT ZERO NINE FIVE
Date: 10.1.15
TAN C H E A 0 3 7 2 2 F
(Name)
Rs. (in words) EIGHT THOUSAND NINTY FIVE ONLY
*NOTES
194 Dividend 1 9 4
194I Rent 9 4 I
194J Income
Services 9 4 J
USED
DEDUCTEES


challan
DEDUCTEES DEDUCTEES
C H E A 0 3 7 2 2F
Full Name
Tel. No. 2 7 5 2 9 3 1 3 Pin 6 03 3 1 9


Income Tax 8 2 7 0
Education Cess
Interest
Penalty
Total 8 2 7 0
Total (in words)
EIGHT TWO SEVEN ZERO
Date: 10.01.15
TAN C H E A 0 3 7 2 2 F
(Name)
Rs. (in words) EIGHT THOUSAND TWO HUNDRED SEVENTY ONLY
*NOTES
194 Dividend 1 9 4
194I Rent 9 4 I
194J Income
Services 9 4 J
USED
DEDUCTEES


challan

DEDUCTEES DEDUCTEES
C H E A 1 4 8 2 7B
Full Name
Tel. No. 2 7 5 2 9 3 1 3 Pin 6 03 3 1


Education Cess
Interest
Penalty
Total 2 4 5 0 4
Total (in words)
TWENTY FOUR FIVE ZERO FOUR
Date: 10.01.2015
TAN C H E A 1 4 8 2 7 B
(Name)
Rs. (in words) TWENTY FOUR THOUSAND FIVE HUNDRED AND FOUR ONLY
*NOTES
194 Dividend 1 9 4
194I Rent 9 4 I
194J Income
Services 9 4 J
USED
DEDUCTEES


opy (to be sent to
)
sment Year
6
IVING BANK
NK SEAL
NK SEAL
Code
OULD BE
N-COMPANY
challan

DEDUCTEES DEDUCTEES
C H E A 1 4 8 2 7B
Full Name
Tel. No. 2 7 5 2 9 3 1 3 Pin 6 03 3 1 9


Income Tax 7 3 3 6
Education Cess
Interest
Penalty
Total 7 3 3 6
Total (in words)
SEVEN THREE THREE SIX
Date: 27.1.2015
TAN C H E A 1 4 8 2 7 B
(Name)
Rs. (in words) SEVEN THOUSAND THREE HUNDRED AND THIRTY SIX ONLY
*NOTES
194 Dividend 1 9 4
194I Rent 9 4 I
194J Income
Services 9 4 J
USED
DEDUCTEES


challan
DEDUCTEES DEDUCTEES
C H E A 0 3 7 2 2F
Full Name
Tel. No. 2 7 5 2 9 3 1 3 Pin 6 03 3 1 9


Income Tax 2 0 0 0
Education Cess
Interest
Penalty
Total 2 0 0 0
Total (in words)
TWO ZERO ZERO ZERO
Date: 9.2.15
TAN C H E A 0 3 7 2 2 F
(Name)
*NOTES
194 Dividend 1 9 4
194I Rent 9 4 I
194J Income
Services 9 4 J
USED
DEDUCTEES


challan
DEDUCTEES DEDUCTEES
C H E A 0 3 7 2 2F
Full Name
Tel. No. 2 7 5 2 9 3 1 3 Pin 6 03 3 1 9


Education Cess
Interest
Penalty
Total 2 1 9 4 3
Total (in words)
TWENTY ONE NINE FOUR THREE
Date: 09.02.15
TAN C H E A 0 3 7 2 2 F
(Name)
Rs. (in words) TWENTY ONE THOUSAND NINE HUNDRED FORTY THREE ONLY
*NOTES
194 Dividend 1 9 4
194I Rent 9 4 I
194J Income
Services 9 4 J
USED
DEDUCTEES


challan
DEDUCTEES DEDUCTEES
C H E A 0 3 7 2 2F
Full Name
Tel. No. 2 7 5 2 9 3 1 3 Pin 6 03 3 1 9


Income Tax 6 6 4 1
Education Cess
Interest
Penalty
Total 6 6 4 1
Total (in words)
SIX SIX FOUR ONE
Date: 09.02.2015
TAN C H E A 0 3 7 2 2 F
(Name)
Rs. (in words) SIX THOUSAND SIX HUNDRED AND FORTY ONE ONLY
*NOTES
194 Dividend 1 9 4
194I Rent 9 4 I
194J Income
Services 9 4 J
USED
DEDUCTEES


challan
DEDUCTEES DEDUCTEES
C H E A 0 3 7 2 2F
Full Name
Tel. No. 2 7 5 2 9 3 1 3 Pin 6 03 3 1 9


Education Cess
Interest
Penalty
Total 1 9 6 5 7
Total (in words)
NINTEEN SIX FIVE SEVEN
Date: 11.03.2015
TAN C H E A 0 3 7 2 2 F
(Name)
Rs. (in words) NINTEEN THOUSAND SIX HUNDRED AND FIFTY SEVEN ONLY
*NOTES
194 Dividend 1 9 4
194I Rent 9 4 I
194J Income
Services 9 4 J
USED
DEDUCTEES


challan

DEDUCTEES DEDUCTEES
C H E A 0 3 7 2 2F
Full Name
Tel. No. 2 7 5 2 9 3 1 3 Pin 6 03 3 1


Income Tax 9 6 2
Education Cess
Interest
Penalty
Total 9 6 2
Total (in words)
NINE SIX TWO
Date: 11.03.2015
TAN C H E A 0 3 7 2 2 F
(Name)
Rs. (in words) NINE HUNDRED AND SIXTY TWO ONLY
*NOTES
194 Dividend 1 9 4
194I Rent 9 4 I
194J Income
Services 9 4 J
USED
DEDUCTEES


opy (to be sent to
)
sment Year
6
IVING BANK
NK SEAL
NK SEAL
Code
OULD BE
N-COMPANY
challan

DEDUCTEES DEDUCTEES
C H E A 0 3 7 2 2F
Full Name
Tel. No. 2 7 5 2 9 3 1 3 Pin 6 03 3 1


Income Tax 2 5 0 0
Education Cess
Interest
Penalty
Total 2 5 0 0
Total (in words)
TWO FIVE ZERO ZERO
Date: 11.03.2015
TAN C H E A 0 3 7 2 2 F
(Name)
*NOTES
194 Dividend 1 9 4
194I Rent 9 4 I
194J Income
Services 9 4 J
USED
DEDUCTEES


opy (to be sent to
)
sment Year
6
IVING BANK
NK SEAL
NK SEAL
Code
OULD BE
N-COMPANY
challan
DEDUCTEES DEDUCTEES
C H E A 0 3 7 2 2F
Full Name
Tel. No. 2 7 5 2 9 3 1 3 Pin 6 03 3 1 9


Income Tax 1 5 8 8
Education Cess
Interest
Penalty
Total 1 5 8 8
Total (in words)
ONE FIVE EIGHT EIGHT
Date: 01.04.2015
TAN C H E A 0 3 7 2 2 F
(Name)
Rs. (in words) ONE THOUSAND FIVE HUNDRED EIGHTY EIGHT ONLY
*NOTES
194 Dividend 1 9 4
194I Rent 9 4 I
194J Income
Services 9 4 J
USED
DEDUCTEES


challan
DEDUCTEES DEDUCTEES
C H E A 0 3 7 2 2F
Full Name
Tel. No. 2 7 5 2 9 3 1 3 Pin 6 03 3 1 9


Income Tax 3 1 2 9
Education Cess
Interest
Penalty
Total 3 1 2 9
Total (in words)
THREE ONE TWO NINE
Date: 09.04.2015
Rs.
TAN C H E A 0 3 7 2 2 F
(Name)
Rs. (in words) THREE THOUSAND ONE HUNDRED AND TWENTY NINE ONLY
*NOTES
194 Dividend 1 9 4
194I Rent 9 4 I
194J Income
Services 9 4 J
USED
DEDUCTEES


challan
DEDUCTEES DEDUCTEES
C H E A 0 3 7 2 2F
Full Name
Tel. No. 2 7 5 2 9 3 1 3 Pin 6 03 3 1 9


Education Cess
Interest
Penalty
Total 1 0 5 2 4 7
Total (in words)
TWO FIVE ZERO ZERO
Date: 9.4.15
TAN C H E A 0 3 7 2 2 F
(Name)
Rs. (in words) ONE LAKH FIVE THOUSAND TWO HUNDRED AND FORTY SEVEN ONLY
*NOTES
194 Dividend 1 9 4
194I Rent 9 4 I
194J Income
Services 9 4 J
USED
DEDUCTEES


challan

DEDUCTEES DEDUCTEES
C H E A 0 3 7 2 2F
Full Name
Tel. No. 2 7 5 2 9 3 1 3 Pin 6 03 3 1

Type of Payment Code * 9 2 B

Income Tax 2 0 0 0
Education Cess
Interest
Penalty
Total 2 0 0 0
Total (in words)
TWO ZERO ZERO ZERO
Date: 9.4.15
TAN C H E A 0 3 7 2 2 F
(Name)
on account of Tax Deducted at Source (TDS)/Tax Collected at Source (TCS) from 92 B____(Fill up Code)
*NOTES
194 Dividend 1 9 4
194I Rent 9 4 I
194J Income
Services 9 4 J
USED
DEDUCTEES


opy (to be sent to
)
sment Year
6
IVING BANK
NK SEAL
NK SEAL
Code
OULD BE
N-COMPANY
challan
DEDUCTEES DEDUCTEES
C H E A 0 3 7 2 2F
Full Name
Tel. No. 2 7 5 2 9 3 1 3 Pin 6 03 3 1 9


Income Tax 2 0 0 0
Education Cess
Interest
Penalty
Total 2 0 0 0
Total (in words)
TWO ZERO ZERO ZERO
Paid in Cash/Debit to A/c /Cheque No. CASH Dated 28.4.15
Date: 28.4.15
TAN C H E A 0 3 7 2 2 F
(Name)
Cash/ Debit to A/c /Cheque No. CASH For Rs. 2000
*NOTES
194 Dividend 1 9 4
194I Rent 9 4 I
194J Income
Services 9 4 J
USED
DEDUCTEES


challan

DEDUCTEES DEDUCTEES
C H E A 1 4 8 2 7B
Full Name
Tel. No. 2 7 5 2 9 3 1 3 Pin 6 03 3 1


Education Cess
Interest
Penalty
Total 3 4 4 6 6
Total (in words)
THIRTY FOUR FOUR SIX SIX
Date: 29.4.15
TAN C H E A 1 4 8 2 7 B
(Name)
Rs. (in words) THIRTY FOUR THOUSAND FOUR HUNDRED AND SIXTY SIX ONLY
*NOTES
194 Dividend 1 9 4
194I Rent 9 4 I
Income
USED
DEDUCTEES


opy (to be sent to
)
sment Year
6
IVING BANK
NK SEAL
NK SEAL
Code
OULD BE
N-COMPANY
challan

DEDUCTEES DEDUCTEES
C H E A 1 4 8 2 7B
Full Name
Tel. No. 2 7 5 2 9 3 1 3 Pin 6 03 3 1 9


Income Tax 1 2 5 0
Education Cess
Interest
Penalty
Total 1 2 5 0
Total (in words)
ONE TWO FIVE ZERO
Date: 29.4.15
TAN C H E A 1 4 8 2 7 B
(Name)
Rs. (in words) ONE THOUSAND TWO HUNDRED AND FIFTY ONLY
*NOTES
194 Dividend 1 9 4
194I Rent 9 4 I
194J Income
Services 9 4 J
USED
DEDUCTEES


challan
DEDUCTEES DEDUCTEES
C H E A 0 3 7 2 2F
Full Name
Tel. No. 2 7 5 2 9 3 1 3 Pin 6 03 3 1 9

Type of Payment Code * 9 2 B

Income Tax 1 5 0 0
Education Cess
Interest
Penalty
Total 1 5 0 0
Total (in words)
ONE FIVE ZERO ZERO
Date: 30.4.15
TAN C H E A 0 3 7 2 2 F
(Name)
Rs. (in words) ONE THOUSAND FIVE HUNDED ONLY
on account of Tax Deducted at Source (TDS)/Tax Collected at Source (TCS) from 92 B____(Fill up Code)
*NOTES
194 Dividend 1 9 4
194I Rent 9 4 I
194J Income
Services 9 4 J
USED
DEDUCTEES


challan
DEDUCTEES DEDUCTEES
C H E A 0 3 7 2 2F
Full Name
Tel. No. 2 7 5 2 9 3 1 3 Pin 6 03 3 1 9


Education Cess
Interest
Penalty
Total 1 0 4 8 9
Total (in words)
TEN FOUR EIGHT NINE
Date: 05.50.2015
TAN C H E A 0 3 7 2 2 F
(Name)
Rs. (in words) TEN THOUSAND FOUR HUNDRED AND EIGHTY NINE ONLY
*NOTES
194 Dividend 1 9 4
194I Rent 9 4 I
194J Income
Services 9 4 J
USED
DEDUCTEES


challan
DEDUCTEES DEDUCTEES
C H E A 0 3 7 2 2F
Full Name
Tel. No. 2 7 5 2 9 3 1 3 Pin 6 03 3 1 9


Education Cess
Interest
Penalty
Total 1 2 2 4 3 0
Total (in words)
ONE TWENTY TWO FOUR THREE ZERO
Date: 5.5.2015
TAN C H E A 0 3 7 2 2 F
(Name)
Rs. (in words) ONE LAKH FIVE THOUSAND TWO HUNDRED AND FORTY SEVEN ONLY
*NOTES
194 Dividend 1 9 4
194I Rent 9 4 I
194J Income
Services 9 4 J
USED
DEDUCTEES


challan
DEDUCTEES DEDUCTEES
C H E A 1 4 8 2 7B
Full Name
Tel. No. 2 7 5 2 9 3 1 3 Pin 6 03 3 1 9


Income Tax 3 3 5
Education Cess
Interest
Penalty
Total 3 3 5
Total (in words)
THREE THREE FIVE
Date: 5.5.2015
TAN C H E A 1 4 8 2 7 B
(Name)
Rs. (in words) THREE HUNDRED AND THIRTY FIVE ONLY
*NOTES
194 Dividend 1 9 4
194I Rent 9 4 I
194J Income
Services 9 4 J
USED
DEDUCTEES


challan

DEDUCTEES DEDUCTEES
C H E A 1 4 8 2 7B
Full Name
Tel. No. 2 7 5 2 9 3 1 3 Pin 6 03 3 1


Income Tax 2 9 3 0
Education Cess
Interest
Penalty
Total 2 9 3 0
Total (in words)
TWO NINE THREE ZERO
Date: 5.5.15
TAN C H E A 1 4 8 2 7 B
(Name)
Rs. (in words) TWO THOUSAND NINE HUNDRED AND THIRTY ONLY
*NOTES
194 Dividend 1 9 4
194I Rent 9 4 I
194J Income
Services 9 4 J
USED
DEDUCTEES


opy (to be sent to
)
sment Year
7
IVING BANK
NK SEAL
NK SEAL
Code
OULD BE
N-COMPANY
challan
DEDUCTEES DEDUCTEES
C H E A 0 3 7 2 2F
Full Name
Tel. No. 2 7 5 2 9 3 1 3 Pin 6 03 3 1 9


Income Tax 6 7 5 0
Education Cess
Interest
Penalty
Total 6 7 5 0
Total (in words)
SIX SEVEN FIVE ZERO
Date: 3.6.2015
TAN C H E A 0 3 7 2 2 F
(Name)
Rs. (in words) SIX THOUSAND SEVEN HUNDERD AND FIFTY ONLY
*NOTES
194 Dividend 1 9 4
194I Rent 9 4 I
194J Income
Services 9 4 J
USED
DEDUCTEES


challan

DEDUCTEES DEDUCTEES
C H E A 0 3 7 2 2F
Full Name
Tel. No. 2 7 5 2 9 3 1 3 Pin 6 03 3 1 9


Education Cess
Interest
Penalty
Total 4 3 4 2 2
Total (in words)
FORTY THREE FOUR TWO TWO
Date: 03.06.2015
TAN C H E A 0 3 7 2 2 F
(Name)
Rs. (in words) FORTY THREE THOUSAND FOUR HUNDRED AND TWENTY TWO ONLY
*NOTES
194 Dividend 1 9 4
194I Rent 9 4 I
194J Income
Services 9 4 J
USED
DEDUCTEES


challan

DEDUCTEES DEDUCTEES
C H E A 0 3 7 2 2F
Full Name
Tel. No. 2 7 5 2 9 3 1 3 Pin 6 03 3 1 9


Income Tax 3 1 1 1
Education Cess
Interest
Penalty
Total 3 1 1 1
Total (in words)
THREE ONE ONE ONE
Date: 03.06.2015
TAN C H E A 0 3 7 2 2 F
(Name)
Rs. (in words) THREE THOUSAND ONE HUNDRED AND ELEVEN ONLY
*NOTES
194 Dividend 1 9 4
194I Rent 9 4 I
Income
USED
DEDUCTEES


`
challan
DEDUCTEES DEDUCTEES
C H E A 0 3 7 2 2F
Full Name
Tel. No. 2 7 5 2 9 3 1 3 Pin 6 03 3 1 9


Income Tax 3 1 5 6
Education Cess
Interest
Penalty
Total 3 1 5 6
Total (in words)
THREE ONE FIVE SIX
Date: 06.07.2015
TAN C H E A 0 3 7 2 2 F
(Name)
Rs. (in words) THREE THOUSAND ONE HUNDRED AND FIFTY SIX ONLY
*NOTES
194 Dividend 1 9 4
194I Rent 9 4 I
194J Income
Services 9 4 J
USED
DEDUCTEES


challan

DEDUCTEES DEDUCTEES
C H E A 0 3 7 2 2F
Full Name
Tel. No. 2 7 5 2 9 3 1 3 Pin 6 03 3 1


Income Tax 2 9 7 2
Education Cess
Interest
Penalty
Total 2 9 7 2
Total (in words)
TWO NINE SEVEN TWO
Date: 06.07.2015
TAN C H E A 0 3 7 2 2 F
(Name)
Rs. (in words) TWO THOUSAND NINE HUNDRED AND SEVENTY TWO ONLY.
*NOTES
194 Dividend 1 9 4
194I Rent 9 4 I
Income
USED
DEDUCTEES


opy (to be sent to
)
sment Year
7
IVING BANK
NK SEAL
NK SEAL
Code
OULD BE
N-COMPANY
challan

DEDUCTEES DEDUCTEES
C H E A 0 3 7 2 2F
Full Name
Tel. No. 2 7 5 2 9 3 1 3 Pin 6 03 3 1


Income Tax 5 2 5 0
Education Cess
Interest
Penalty
Total 5 2 5 0
Total (in words)
FIVE TWO FIVE ZERO
Date: 06.07.2015
TAN C H E A 0 3 7 2 2 F
(Name)
Rs. (in words) FIVE THOUSAND TWO HUNDRED AND FIFTY ONLY
*NOTES
194 Dividend 1 9 4
194I Rent 9 4 I
Income
USED
DEDUCTEES


opy (to be sent to
)
sment Year
7
IVING BANK
NK SEAL
NK SEAL
Code
OULD BE
N-COMPANY
challan

DEDUCTEES DEDUCTEES
C H E A 0 3 7 2 2F
Full Name
Tel. No. 2 7 5 2 9 3 1 3 Pin 6 03 3 1


Income Tax 5 6 5 4
Education Cess
Interest
Penalty
Total 5 6 5 4
Total (in words)
FIVE SIX FIVE FOUR
Date: 07.08.15
TAN C H E A 0 3 7 2 2 F
(Name)
Rs. (in words) FIVE THOUSAND SIX HUNDRED AND FIFTY FOUR ONLY
*NOTES
194 Dividend 1 9 4
194I Rent 9 4 I
Income
USED
DEDUCTEES


opy (to be sent to
)
sment Year
7
`
IVING BANK
NK SEAL
NK SEAL
Code
OULD BE
N-COMPANY
challan

DEDUCTEES DEDUCTEES
C H E A 0 3 7 2 2F
Full Name
Tel. No. 2 7 5 2 9 3 1 3 Pin 6 03 3 1 9


Income Tax 2 3 8 1
Education Cess
Interest
Penalty
Total 2 3 8 1
Total (in words)
TWO THREE EIGHT ONE
Date: 07.08.15
TAN C H E A 0 3 7 2 2 F
(Name)
Rs. (in words) TWO THOUSAND THREE HUNDRED AND EIGHTY ONE ONLY.
*NOTES
194 Dividend 1 9 4
194I Rent 9 4 I
Income
USED
DEDUCTEES


`
challan

DEDUCTEES DEDUCTEES
C H E A 0 3 7 2 2F
Full Name
Tel. No. 2 7 5 2 9 3 1 3 Pin 6 03 3 1 9


Education Cess
Interest
Penalty
Total 3 0 3 0 0
Total (in words)
THIRTY THREE ZERO ZERO
Date: 07.08.15
TAN C H E A 0 3 7 2 2 F
(Name)
Rs. (in words) THIRTY THOUSAND THREE HUNDRED ONLY
*NOTES
194 Dividend 1 9 4
194I Rent 9 4 I
Income
DEDUCTEES


challan

DEDUCTEES DEDUCTEES
C H E A 0 3 7 2 2F
Full Name
Tel. No. 2 7 5 2 9 3 1 3 Pin 6 03 3 1 9


Income Tax 3 3 0 0
Education Cess
Interest
Penalty
Total 3 3 0 0
Total (in words)
THREE THREE ZERO ZERO
Date: 10.09.15
TAN C H E A 0 3 7 2 2 F
(Name)
Rs. (in words) THREE THOUSAND THREE HUNDRED ONLY
*NOTES
194 Dividend 1 9 4
194I Rent 9 4 I
Income
DEDUCTEES


challan

DEDUCTEES DEDUCTEES
C H E A 0 3 7 2 2F
Full Name
Tel. No. 2 7 5 2 9 3 1 3 Pin 6 03 3 1 9


Education Cess
Interest
Penalty
Total 1 8 9 5 2
Total (in words)
EIGHTEEN NINE FIVE TWO
Date: 10.09.15
TAN C H E A 0 3 7 2 2 F
(Name)
Rs. (in words) EIGHTEEN THOUSAND NINE HUNDRED AND FIFTY TWO ONLY
*NOTES
194 Dividend 1 9 4
194I Rent 9 4 I
Income
USED
DEDUCTEES


`
challan

DEDUCTEES DEDUCTEES
C H E A 0 3 7 2 2F
Full Name
Tel. No. 2 7 5 2 9 3 1 3 Pin 6 03 3 1 9


Income Tax 1 8 3
Education Cess
Interest
Penalty
Total 1 8 3
Total (in words)
ONE EIGHT THREE
Date: 10.09.15
TAN C H E A 0 3 7 2 2 F
(Name)
Rs. (in words) ONE HUNDRED AND EIGHTY THREE ONLY
*NOTES
194 Dividend 1 9 4
194I Rent 9 4 I
Income
USED
DEDUCTEES


`
challan

DEDUCTEES DEDUCTEES
C H E A 0 3 7 2 2F
Full Name
Tel. No. 2 7 5 2 9 3 1 3 Pin 6 03 3 1 9


Income Tax 1 6 2 0
Education Cess
Interest
Penalty
Total 1 6 2 0
Total (in words)
ONE SIX TWO ZERO
Date: 5.10.15
TAN C H E A 0 3 7 2 2 F
(Name)
Rs. (in words) ONE THOUSAND SIX HUNDRED AND TWENTY ONLY
*NOTES
194 Dividend 1 9 4
194I Rent 9 4 I
Income
USED
DEDUCTEES


`
challan

DEDUCTEES DEDUCTEES
C H E A 0 3 7 2 2F
Full Name
Tel. No. 2 7 5 2 9 3 1 3 Pin 6 03 3 1 9


Income Tax 2 5 0 0
Education Cess
Interest
Penalty
Total 2 5 0 0
Total (in words)
TWO FIVE ZERO ZERO
Date: 5.10.15
TAN C H E A 0 3 7 2 2 F
(Name)
*NOTES
194 Dividend 1 9 4
194I Rent 9 4 I
Income
DEDUCTEES


challan

DEDUCTEES DEDUCTEES
C H E A 0 3 7 2 2F
Full Name
Tel. No. 2 7 5 2 9 3 1 3 Pin 6 03 3 1 9


Income Tax 6 3 0 5
Education Cess
Interest
Penalty
Total 6 3 0 5
Total (in words)
SIX THREE ZERO FIVE
Date: 5.10.15
TAN C H E A 0 3 7 2 2 F
(Name)
Rs. (in words) SIX THOUSAND THREE HUNDRED AND FIVE ONLY
*NOTES
194 Dividend 1 9 4
194I Rent 9 4 I
Income
USED
DEDUCTEES


`
challan

DEDUCTEES DEDUCTEES
C H E A 1 4 8 2 7B
Full Name
Tel. No. 2 7 5 2 9 3 1 3 Pin 6 03 3 1 9


Income Tax 8 4 9
Education Cess
Interest
Penalty
Total 8 4 9
Total (in words)
EIGHT FOUR NINE
Date: 14.10.15
TAN C H E A 1 4 8 2 7 B
(Name)
Rs. (in words) EIGHT HUNDRED AND FORTY NINE ONLY
*NOTES
194 Dividend 1 9 4
194I Rent 9 4 I
Income
USED
DEDUCTEES


challan

DEDUCTEES DEDUCTEES
C H E A 1 4 8 2 7B
Full Name
Tel. No. 2 7 5 2 9 3 1 3 Pin 6 03 3 1 9


Income Tax 1 7 6 4
Education Cess
Interest
Penalty
Total 1 7 6 4
Total (in words)
ONE SEVEN SIX FOUR
Date: 14.10.15
TAN C H E A 1 4 8 2 7 B
(Name)
Rs. (in words) ONE THOUSAND SEVEN HUNDRED AND SIXTY FOUR ONLY
*NOTES
194 Dividend 1 9 4
194I Rent 9 4 I
Income
USED
DEDUCTEES


challan

DEDUCTEES DEDUCTEES
C H E A 1 4 8 2 7B
Full Name
Tel. No. 2 7 5 2 9 3 1 3 Pin 6 03 3 1 9


Income Tax 1 0 0 0
Education Cess
Interest
Penalty
Total 1 0 0 0
Total (in words)
ONE ZERO ZERO ZERO
Date: 14.10.15
TAN C H E A 1 4 8 2 7 B
(Name)
Rs. (in words) ONE THOUSAND ONLY
*NOTES
194 Dividend 1 9 4
194I Rent 9 4 I
Income
USED
DEDUCTEES


challan

DEDUCTEES DEDUCTEES
C H E A 1 4 8 2 7B
Full Name
Tel. No. 2 7 5 2 9 3 1 3 Pin 6 03 3 1 9


Income Tax 1 7 5 0
Education Cess
Interest
Penalty
Total 1 7 5 0
Total (in words)
ONE SEVAN FIVE ZERO
Date: 14.10.15
TAN C H E A 1 4 8 2 7 B
(Name)
Rs. (in words) ONE THOUSAND SEVEN HUNDRED AND FIFTY ONLY
*NOTES
194 Dividend 1 9 4
194I Rent 9 4 I
Income
USED
DEDUCTEES


challan

DEDUCTEES DEDUCTEES
C H E A 0 3 7 2 2F
Full Name
Tel. No. 2 7 5 2 9 3 1 3 Pin 6 03 3 1 9


Income Tax 2 2 6 2
Education Cess
Interest
Penalty
Total 2 2 6 2
Total (in words)
TWO TWO SIX TWO
Date: 4.11.15
TAN C H E A 0 3 7 2 2 F
(Name)
Rs. (in words) TWO THOUSAND TWO HUNDRED AND SIXTY TWO ONLY
*NOTES
194 Dividend 1 9 4
194I Rent 9 4 I
Income
USED
DEDUCTEES


`
challan

DEDUCTEES DEDUCTEES
C H E A 0 3 7 2 2F
Full Name
Tel. No. 2 7 5 2 9 3 1 3 Pin 6 03 3 1 9


Income Tax 5 5 0 0
Education Cess
Interest
Penalty
Total 5 5 0 0
Total (in words)
FIVE FIVE ZERO ZERO
Date: 4.11.15
TAN C H E A 0 3 7 2 2 F
(Name)
Rs. (in words) FIVE THOUSAND FIVE HUNDRED ONLY
*NOTES
194 Dividend 1 9 4
194I Rent 9 4 I
Income
DEDUCTEES


challan

DEDUCTEES DEDUCTEES
C H E A 0 3 7 2 2F
Full Name
Tel. No. 2 7 5 2 9 3 1 3 Pin 6 03 3 1 9


Income Tax 6 5 1 0
Education Cess
Interest
Penalty
Total 6 5 1 0
Total (in words)
SIX FIVE ONE ZERO
Date: 4.11.15
TAN C H E A 0 3 7 2 2 F
(Name)
Rs. (in words) SIX THOUSAND FIVE HUNDRED AND TEN ONLY
*NOTES
194 Dividend 1 9 4
194I Rent 9 4 I
Income
USED
DEDUCTEES


`
challan

DEDUCTEES DEDUCTEES
C H E A 1 4 8 2 7B
Full Name
Tel. No. 2 7 5 2 9 3 1 3 Pin 6 03 3 1 9


Income Tax 3 9 3
Education Cess
Interest
Penalty
Total 3 9 3
Total (in words)
THREE NINE THREE
Date: 4.11.15
TAN C H E A 1 4 8 2 7 B
(Name)
Rs. (in words) THREE HUNDRED AND NINTY THREE ONLY
*NOTES
194 Dividend 1 9 4
194I Rent 9 4 I
Income
USED
DEDUCTEES


challan

DEDUCTEES DEDUCTEES
C H E A 1 4 8 2 7B
Full Name
Tel. No. 2 7 5 2 9 3 1 3 Pin 6 03 3 1 9


Income Tax 5 0 0
Education Cess
Interest
Penalty
Total 5 0 0
Total (in words)
FIVE ZERO ZERO
Date: 4.11.15
TAN C H E A 1 4 8 2 7 B
(Name)
Rs. (in words) FIVE HUNDRED ONLY
*NOTES
194 Dividend 1 9 4
194I Rent 9 4 I
Income
USED
DEDUCTEES


challan
DEDUCTEES DEDUCTEES
C H E A 0 3 7 2 2F
Full Name
Tel. No. 2 7 5 2 9 3 1 3 Pin 6 03 3 1 9


Income Tax 2 6 5 1
Education Cess
Interest
Penalty
Total 2 6 5 1
Total (in words)
TWO SIX FIVE ONE
Date: 5.1.16
TAN C H E A 0 3 7 2 2 F
(Name)
Rs. (in words) TWO THOUSAND SIX HUNDRED AND FIFTY ONE ONLY
*NOTES
194 Dividend 1 9 4
194I Rent 9 4 I
194J Income
Services 9 4 J
USED
DEDUCTEES


challan

DEDUCTEES DEDUCTEES
C H E A 0 3 7 2 2F
Full Name
Tel. No. 2 7 5 2 9 3 1 3 Pin 6 03 3 1


Income Tax 4 1 6
Education Cess
Interest
Penalty
Total 4 1 6
Total (in words)
FOUR ONE SIX
Date: 5.1.16
TAN C H E A 0 3 7 2 2 F
(Name)
Rs. (in words) FOUR HUNDRED AND SIXTEEN ONLY
*NOTES
194 Dividend 1 9 4
194I Rent 9 4 I
194J Income
Services 9 4 J
USED
DEDUCTEES


opy (to be sent to
)
sment Year
7
IVING BANK
NK SEAL
NK SEAL
Code
OULD BE
N-COMPANY
challan

DEDUCTEES DEDUCTEES
C H E A 1 4 8 2 7B
Full Name
Tel. No. 2 7 5 2 9 3 1 3 Pin 6 03 3 1


Income Tax 9 0 6 3
Education Cess
Interest
Penalty
Total 9 0 6 3
Total (in words)
NINE ZERO SIX THREE
Date: 5.1.16
TAN C H E A 1 4 8 2 7 B
(Name)
Rs. (in words) NINE THOUSAND SIXTY THREE ONLY
*NOTES
194 Dividend 1 9 4
194I Rent 9 4 I
Income
USED
DEDUCTEES


opy (to be sent to
)
sment Year
7
IVING BANK
NK SEAL
NK SEAL
Code
OULD BE
N-COMPANY
challan

DEDUCTEES DEDUCTEES
C H E A 0 3 7 2 2F
Full Name
Tel. No. 2 7 5 2 9 3 1 3 Pin 6 03 3 1 9


Income Tax 9 0 6 3
Education Cess
Interest
Penalty
Total 9 0 6 3
Total (in words)
NINE ZERO SIX THREE
Date: 12.1.15
TAN C H E A 0 3 7 2 2 F
(Name)
Rs. (in words) NINE THOUSAND AND SIXTY THREE ONLY'
*NOTES
194 Dividend 1 9 4
194I Rent 9 4 I
194J Income
Services 9 4 J
DEDUCTEES


challan
DEDUCTEES DEDUCTEES
C H E A 1 4 8 2 7B
Full Name
Tel. No. 2 7 5 2 9 3 1 3 Pin 6 03 3 1 9


Education Cess
Interest
Penalty
Total 2 5 2 2 5
Total (in words)
TWENTY FIVE TWO TWO FIVE
Date: 14.1.16
TAN C H E A 1 4 8 2 7 B
(Name)
Rs. (in words) TWENTY FIVE THOUSAND TWO HUNDRED AND TWENTY FIVE ONLY
*NOTES
194 Dividend 1 9 4
194I Rent 9 4 I
USED
DEDUCTEES


challan
DEDUCTEES DEDUCTEES
C H E A 0 3 7 2 2F
Full Name
Tel. No. 2 7 5 2 9 3 1 3 Pin 6 03 3 1 9


Income Tax 4 5 8 1
Education Cess
Interest
Penalty
Total 4 5 8 1
Total (in words)
FOUR FIVE EIGHT ONE
Date: 5.2.16
TAN C H E A 0 3 7 2 2 F
(Name)
Rs. (in words) FOUR THOUSAND FIVE HUNDERED AND EIGHTY ONE ONLY
*NOTES
194 Dividend 1 9 4
194I Rent 9 4 I
194J Income
Services 9 4 J
USED
DEDUCTEES


challan
DEDUCTEES DEDUCTEES
C H E A 0 3 7 2 2F
Full Name
Tel. No. 2 7 5 2 9 3 1 3 Pin 6 03 3 1 9


Income Tax 2 5 0 0
Education Cess
Interest
Penalty
Total 2 5 0 0
Total (in words)
TWO FIVE ZERO ZERO
Date: 5.2.16
TAN C H E A 0 3 7 2 2 F
(Name)
*NOTES
194 Dividend 1 9 4
194I Rent 9 4 I
194J Income
Services 9 4 J
DEDUCTEES


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* Important : Please see notes T.D.S.

/TCS TAX CHALLAN Single Copy (to be sent to

Tel. No. 2 7 5 2 9 3 1 3 Pin 6 03 3 1 9

TDS/TCS Regular Assessment (Raised by I.T. Deptt.) (400) - -

DETAILS OF PAYMENTS Amount (in Rs. Only) D D M M Y Y

KINDLY ENSURE THAT THE BANKS ACKNOWLEDGEMENT CONTAINS THE FOLLOWING:-

1. 7 DIGIT BSR CODE OF THE BANK BRANCH

THESE WILL HAVE TO BE QUOTED IN YOUR RETURN OF INCOME.

Tel. No. 2 7 5 2 9 3 1 3 Pin 6 03 3 1 9

TDS/TCS Regular Assessment (Raised by I.T. Deptt.) (400) - -

DETAILS OF PAYMENTS Amount (in Rs. Only) D D M M Y Y

KINDLY ENSURE THAT THE BANKS ACKNOWLEDGEMENT CONTAINS THE FOLLOWING:-

1. 7 DIGIT BSR CODE OF THE BANK BRANCH

THESE WILL HAVE TO BE QUOTED IN YOUR RETURN OF INCOME.

Tel. No. 2 7 5 2 9 3 1 3 Pin 6 03 3

TDS/TCS Regular Assessment (Raised by I.T. Deptt.) (400) - -

DETAILS OF PAYMENTS Amount (in Rs. Only) D D M M Y Y

KINDLY ENSURE THAT THE BANKS ACKNOWLEDGEMENT CONTAINS THE FOLLOWING:-

1. 7 DIGIT BSR CODE OF THE BANK BRANCH

THESE WILL HAVE TO BE QUOTED IN YOUR RETURN OF INCOME.

Tel. No. 2 7 5 2 9 3 1 3 Pin 6 03 3 1 9

TDS/TCS Regular Assessment (Raised by I.T. Deptt.) (400) - -

DETAILS OF PAYMENTS Amount (in Rs. Only) D D M M Y Y

KINDLY ENSURE THAT THE BANKS ACKNOWLEDGEMENT CONTAINS THE FOLLOWING:-

1. 7 DIGIT BSR CODE OF THE BANK BRANCH

THESE WILL HAVE TO BE QUOTED IN YOUR RETURN OF INCOME.

Tel. No. 2 7 5 2 9 3 1 3 Pin 6 03 3 1 9

TDS/TCS Regular Assessment (Raised by I.T. Deptt.) (400) - -

DETAILS OF PAYMENTS Amount (in Rs. Only) D D M M Y Y

KINDLY ENSURE THAT THE BANKS ACKNOWLEDGEMENT CONTAINS THE FOLLOWING:-

1. 7 DIGIT BSR CODE OF THE BANK BRANCH

THESE WILL HAVE TO BE QUOTED IN YOUR RETURN OF INCOME.

Tel. No. 2 7 5 2 9 3 1 3 Pin 6 03 3 1 9

TDS/TCS Regular Assessment (Raised by I.T. Deptt.) (400) - -

DETAILS OF PAYMENTS Amount (in Rs. Only) D D M M Y Y

KINDLY ENSURE THAT THE BANKS ACKNOWLEDGEMENT CONTAINS THE FOLLOWING:-

1. 7 DIGIT BSR CODE OF THE BANK BRANCH

THESE WILL HAVE TO BE QUOTED IN YOUR RETURN OF INCOME.

Tel. No. 2 7 5 2 9 3 1 3 Pin 6 03 3 1 9

TDS/TCS Regular Assessment (Raised by I.T. Deptt.) (400) - -

DETAILS OF PAYMENTS Amount (in Rs. Only) D D M M Y Y

KINDLY ENSURE THAT THE BANKS ACKNOWLEDGEMENT CONTAINS THE FOLLOWING:-

1. 7 DIGIT BSR CODE OF THE BANK BRANCH

THESE WILL HAVE TO BE QUOTED IN YOUR RETURN OF INCOME.

Tel. No. 2 7 5 2 9 3 1 3 Pin 6 03 3 1 9

TDS/TCS Regular Assessment (Raised by I.T. Deptt.) (400) - -

DETAILS OF PAYMENTS Amount (in Rs. Only) D D M M Y Y

KINDLY ENSURE THAT THE BANKS ACKNOWLEDGEMENT CONTAINS THE FOLLOWING:-

1. 7 DIGIT BSR CODE OF THE BANK BRANCH

THESE WILL HAVE TO BE QUOTED IN YOUR RETURN OF INCOME.

Tel. No. 2 7 5 2 9 3 1 3 Pin 6 03 3 1 9

TDS/TCS Regular Assessment (Raised by I.T. Deptt.) (400) - -

DETAILS OF PAYMENTS Amount (in Rs. Only) D D M M Y Y

KINDLY ENSURE THAT THE BANKS ACKNOWLEDGEMENT CONTAINS THE FOLLOWING:-

1. 7 DIGIT BSR CODE OF THE BANK BRANCH

THESE WILL HAVE TO BE QUOTED IN YOUR RETURN OF INCOME.

Tel. No. 2 7 5 2 9 3 1 3 Pin 6 03 3 1 9

TDS/TCS Regular Assessment (Raised by I.T. Deptt.) (400) - -

DETAILS OF PAYMENTS Amount (in Rs. Only) D D M M Y Y

KINDLY ENSURE THAT THE BANKS ACKNOWLEDGEMENT CONTAINS THE FOLLOWING:-

1. 7 DIGIT BSR CODE OF THE BANK BRANCH

THESE WILL HAVE TO BE QUOTED IN YOUR RETURN OF INCOME.

Tel. No. 2 7 5 2 9 3 1 3 Pin 6 03 3 1 9

TDS/TCS Regular Assessment (Raised by I.T. Deptt.) (400) - -