Transcription of INCOME DECLARATION SCHEME,2016 CHALLAN Single …
1 *Important : Please see notes overleaf before filing up the challanINCOME DECLARATION SCHEME, 2016 CHALLANS ingle Copy (to be sent to the ZAO) CHALLAN ITNS 286 OTHER TAXES ON INCOME AND EXPENDITURE (0028)PAYMENT UNDER INCOME DECLARATION SCHEME, 2016 (111)Assessment Year 2017-18 Permanent Account NumberFull NameComplete Address with City & StateTel. of Payment (Tick One) FOR USE IN RECEIVING BANKD ebit to A/c / Cheque credited on DDMMYYP ayment made by Company Payment made by person other than CompanyDETAILS OF PAYMENT Amount (in Rs.)
2 Only)TaxSPACE FOR BANK (KrishiKalyan Cess)PenaltyTotalTotal (in words)CRORESLACSTHOUSANDSHUNDREDSTENSUNI TSPaid in Cash/Debit to A/c/Cheque Drawn on (Name of the Bank and Branch)DateSignature of person making paymentTaxpayers Counterfoil (To be filled up by taxpayer) SPACE FOR BANK from(Name of Taxpayer)Cash/Debit to A/c/Cheque (in words)Drawn on (Name of the Bank and Branch)Payment made under INCOME Disclosure Scheme, 2016 (111) (Tick one)Payment by Company Payment by person other than CompanyAssessment Year2017-18* note that quoting of Permanent AccountNumber (PAN) is payers may please draw/issue Cheque/DDs towards payment under INCOME DECLARATION Scheme as under:Pay _____ (Name of the Bank where the CHALLAN is being deposited) ENSURE THAT THE BANK S ACKNOWLEDGEMENT CONTAINS THE DIGIT BSR CODE OF THE BANK OF DEPOSIT OF CHALLAN (DD MM YY) SERIAL NUMBERTHESE WILL HAVE TO BE QUOTED IN FORM-1/ FORM-3
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