CHALLAN NO./ ITNS

ITNS 280

Tax Applicable

(0021) INCOME-TAX (OTHER THANCOMPANIES)

(0020) INCOME-TAX ONCOMPANIES(CORPORATION TAX)

AssessmentYear

2014-15

PAN : ALCPG2055L

Full Name : VINAY KUMAR GOYAL

CompleteAddress withCity & State :

A-129/27 Jawahar Colony NIT Faridabad Faridabad HARYANA-121005

Tel. No. : 0

Type of Payment

(100) ADVANCE TAX (106) PROFITS OF DOMESTIC COMPANIES

(300) SELF ASSESSMENT TAX (102) SURTAX

(107) TAX ON DISTRIBUTED INCOME TO UNITHOLDERS (400) TAX ON REGULAR ASSESSMENT

(800) TDS ON SALE OF PROPERTY

Details of Payment

Amount (in Rs. only)

Income Tax: 20,000.00

Surcharge: 0.00

Education Cess: 0.00

Interest: 0.00

Penalty: 0.00

Others: 0.00

Total: 20,000.00

Total (in words):

Crores Lakhs Thousands Hundreds Tens Units

Zero Zero Twenty Zero Zero Zero

Debit to A/c: 004601052657

Date: 01/08/2014

Drawn on: Internet Banking Payment throughICICI Bank

FOR USE IN RECEIVING BANK

Debit to A/c / Cheque credited on

01/08/2014 (dd/MM/yyyy)

Payment Status : Success

Bank Reference No. : 0626083573

SPACE FOR BANK SEAL

ICICI Bank

Uttam Nagar, New Delhi

CIN

BSR Code : 6390340

Tender Date : 010814

Challan Serial No. : 70723

Rs : 20,000.00

Taxpayers Counterfoil

PAN: ALCPG2055L

Received From : VINAY KUMAR GOYAL

Paid in Cash / Debit toA/c / Cheque No : 004601052657

For Rs. : 20,000.00

Rs (in words) : Rupees Twenty Thousand and Zeropaise only

Drawn On : Internet Banking Payment throughICICI Bank

On Account of : (0021) INCOME-TAX (OTHER THANCOMPANIES)

Type of Payment : (300) SELF ASSESSMENT TAX

For the AssessmentYear : 2014-15

Payment Status : Success

Bank Reference No. : 0626083573

SPACE FOR BANK SEAL

ICICI Bank

Uttam Nagar, New Delhi

CIN

BSR Code : 6390340

Tender Date : 010814

Challan Serial No. : 70723

Rs : 20,000.00