* egRoiw.kZ % Ñi;k pkyku Hkjus ls igys fVIi.

kh ihNs ns[ksa A
Important: Please see notes overleaf before
Ïksr ij dj dVkSrh pkyku @ ,dy izfr ¼{ks-ys-vf/kdkjh ds ikl Hkstus ds fy,½
Single Copy (to be sent to the ZAO)
filling up the challan. T.D.S. TAX CHALLAN
mi;qDr dj (,d ij fu'kku yxkosa) @ Tax Applicable (Tick One) * pkyku la- @ vkbZ
Ïksr ij dkVk x;k @ laxzfgr dj @ TAX DEDUCTED / COLLECTED AT SOURCE FROM Vh ,u ,l
CHALLAN NO. /
(0020) dEifu;ka (0021) xSj&dEifu;ka ITNS
COMPANIES NON-COMPANIES 281
dj dVkSrh ys[kk la[;k (VSu) @ Tax Deduction Account No. (T.A.N.) fu/kkZj.k o"kZ @ Assessment Year
–

iwjk uke @ Full Name

iwjk irk] uxj vkSj jkT; lfgr @ Complete Address with City & State

Hkqxrku dk izdkj @ Nature of Payment dks M @ Code * izkIrdrkZ cSad esa iz;ksx ds fy;s
Hkqxrku dk fooj.k @ DETAILS OF PAYMENTS FOR USE IN RECEIVING BANK
jkf'k (dsoy :- esa) @ Amount (in Rs. Only) [kkrs ls MschV @ psd ds ØsfMV dh rkjh[k
Debit to A/c / Cheque credited on
vk;dj @ Income Tax

vf/Hkkj @ Surcharge
rk- @ DD ek- @ MM o"kZ @ YY
C;kt @ Interest

'kkfLr @ Penalty cSad dh eksgj ds fy, LFkku

SPACE FOR BANK SEAL
vU; @ Others

tksM+ @ Total

tksM+ ('kCnksa esa) @ Total (in words)

djksM @ CRORES yk[k @ LACS
gtkj @ lSdM+k @ ngkbZ @ TENS bdkbZ @ UNITS
THOUSANDS HUNDREDS

udn @ [kkrs ls MschV @ psd la- fnukad

Paid in Cash/ Debit to A/c /Cheque No. Dated

vnkdrkZ cSad @ Drawn on

(cSad ,oa 'kk[kk dk uke) @ (Name of the Bank and Branch)
}kjk tek fd;k A

fnukad @ Date : tek djus okys O;fDr ds gLrk{kj

Signature of person making payment
;gka ls dkVsa @ Tear Off
(djnkrk }kjk Hkjk tk,xk)
djnkrk dk izfri.kZ @ Taxpayers Counterfoil (To be filled up by tax payer) cSad dh eksgj ds fy, LFkku
dj dVkSrh ys[kk la- (VSu) @ TAN SPACE FOR BANK SEAL

Received from
(uke) @ (Name)
ls udn@[kkrs ls MschV @ psd la- :-
Cash/ Debit to A/c /Cheque No. For Rs.

#- ('kCnks esa)
Rs. (in words)

vnkdrkZ cSad @ drawn on

(cSad ,oa 'kk[kk dk uke) @ (Name of the Bank and Branch)

dEifu;ksa@Companies
}kjk ls Ïksr ij dj dVkSrh (Vh-Mh-,l-)
on account of Tax Deducted at Source (TDS) from
/
xSj&dEifu;ksa@Non-Companies

(tks ykxw uk gks mls dkV nsa) @ (Strike out whichever is not applicable)

ds :i esa fu/kZj.k o"kZ @ for the Assessment Year – ds fy, izkIr gqvk
 * fVIi.kh@NOTES
1. Ñi;k uksV djsa fd vk;dj vf/fu;e] 1961 dh /kjk 272 [k [k ds vuqlkj >wBk dj dVkSrh ys[kk la[;k (VSu) n'kkZus
ij 10000@& :i;s dh 'kkfLr dh O;oLFkk gS A
Please note that quoting false TAN may attract a penalty of Rs. 10,000/- as per section 272BB of
I.T. Act, 1961.
2. Hkqxrku ds izR;sd izdkj (fun'kZu) ds fy, vyx pkyku dk iz;ksx djsa A
Use a Separate Challan for each Nature (Type) of Payment. The relevant Codes are:
lqlaxr dksM fuEufyf[kr gS%
/kjk@Section Hkqxrku dk izdkj @ Nature of Payment dksM@Code
192 la?k ljdkj ds deZpkjh dks NksM+dj ljdkjh deZpkfj;ksa dks lank; @
Payment to Govt. Employees other than Union Government Employees 9 2 A
192 ljdkjh deZpkfj;ksa dks NksM+dj deZpkfj;ksa dks lank; @
Payment of Employees other than Govt. Employees 9 2 B
193 izfrHkwfr;ksa ij C;kt @ Interest on securities 1 9 3
194 ykHkka'k @ Dividend 1 9 4
194A izfrHkwfr;ksa ls fHkUu C;kt @ Interest other than interest on securities 9 4 A
194B ykVjh o oxZ igsyh esa gqbZ thr @ Winnings from lotteries and crossword puzzles 9 4 B
194BB ?kqM+nkSM+ esa gqbZ thr @ Winnings from horse race 4 B B
194C Bsdsnkjksa o miBsdsnkjksa dk Hkqxrku @ Payment of contractors and sub-contractors 9 4 C
194D chek deh'ku @ Insurance Commission 9 4 D
194E vfuoklh [ksy laxeksa ;k laLFkkvksa dks lank; @ Payments to non-resident Sportsmen/Sport Associations 9 4 E
194EE jk"Vªh; cpr ;kstuk ds vUrxZr fu{ksiksa ls lacafèkr lank; @
Payments in respect of Deposits under National Savings Schemes 4 E E
194F E;wP;qvy iaQM ;k ;w-Vh-vkbZ- }kjk ;wfuVksa ds iqu% Ø; ds dkj.k @
Payments on account of Re-purchase of Units by Mutual Funds or UTI 9 4 F
194G ykVjh dh lsy ij deh'ku] buke bR;kfn @ Commision, prize etc. on sale of Lottery tickets 9 4 G
194H deh'ku ;k czksØst @ Commission or Brokerage 9 4 H
194 I fdjk;k @ Rent 9 4 I
194J o`fRrd vFkok rduhdh lsokvksa ds fy, iQhl @ Fees For Professional Or Technical Services 9 4 J
194K fofufnZ"V E;wP;qvy iaQM ;wfuVksa ;k ;w-Vh-vkbZ- dh ;wfuVksa ds laca/ esa fuoklh fu/kZfjrh dks lans; vk; @ Income payable to a
Resident Assessee in respect of Units of a specified Mutual Fund or of the Units of the UTI @ 9 4 K
195 vfuoklh dks lank; vU; jde @ Other sums payable to a non-resident 1 9 5
196A vfuoklh dh ;wfuVksa ds laca/ esa vk; @ Income in respect of units of Non-Residents 9 6 A
196B virV fuf/ ds ;wfuVksa ds laca/ esa fd;k x;k lank; @ Payments in respect of Units to an Offshore Fund 9 6 B
196C fdlh vfuoklh dk lans; fons'kh djsUlh] ckaM~l ;k Hkkjrh; dEiuh ds 'ks;jksa ls vk; @
Income from foreign Currency Bonds or shares of Indian Company payable to Non-Resident 9 6 C
196D izfrHkwfr;ksa ls fons'kh laLFkkxr fuos'kdksa dh vk; @ Income of foreign institutional investors from securities 9 6 D
206C ekuo miHkksx ds fy, fydj rFkk rsanw iRrksa ls Ïksr ij laxzg.k @
Collection at Source from Liquor for Human Consumption and Tendu Leaves 6 C A
206C ou iV~Vs ds varxZr izkIr dk"B ls Ïksr ij laxzg.k @ Collection at Source from Timber obtained under Forest lease 6 C B
206C ou iV~Vs ds vykok vU; fdlh izdkj ls izkIr fd, x, dk"B ls Ïksr ij laxzg.k @ Collection at Source from Timber
obtained by any Mode other than a Forest Lease 6 C C
206C fdlh vU; ou mRikn (tks rsanw iRrk ugha gS) ls Ïksr ij laxzg.k @
Collection at source from any other Forest Produce (not being Tendu Leaves) 6 C D
206C LØSi ls Ïksr ij laxzg.k @ Collection at Source from Scrap 6 C E

Ñi;k pkyku ds mQij lqlaxr ckDl esa lgh dk fu'kku yxk;sa A dEifu;ksa rFkk xSj&dEifu;ksa ls
Ïksr ij dkVs x, dj dks tek djus ds fy;s vyx pkyku dk iz;ksx fd;k tkuk gS A
PLEASE TICK THE RELEVANT BOX AT THE TOP OF THE CHALLAN. SEPARATE
CHALLANS SHOULD BE USED FOR DEPOSITING TAX DEDUCTED AT SOURCE
FROM COMPANIES AND FROM NON-COMPANIES.

cSad dkmaVj NksMus ls igys tk¡p djsa fd vkids izfri.kZ ij cSad 'kk[kk }kjk tkjh ikorh esa cSad dh
'kk[kk dk uke] cSad dk 7 vad ch ,l vkj dksM] pkyku tek djus dh rkjh[k (fnu] ekg] o"kZ)
rFkk pkyku Øe la[;k dh eksgj yxh gS A Ñi;k bl izfri.kZ dks vius ikl j[ksa rFkk viuh vk; dh
fooj.kh esa mDr ikorh ds C;ksjs dk mYys[k djsa A
CHECK BEFORE LEAVING THE BANK COUNTER THAT THE ACKNOWLEDGEMENT
STAMPED ON YOUR COUNTER FOIL BY THE BANK BRANCH BEARS THE NAME OF
BANK BRANCH, THE 7 DIGIT BSR CODE OF THE BRANCH, THE DATE OF DEPOSIT
OF CHALLAN (DD MM YY) AND THE CHALLAN SERIAL NO. PLEASE RETAIN THIS
COUNTERFOIL AND MENTION THE ABOVE ACKNOWLEDGEMENT DETAILS IN YOUR
RETURN OF INCOME.