INCOME TAX PAYMENT CHALLAN

PSID # : 21223796

LTU LAHORE 3 9 2017

Name of LTU/MTU/RTO LTU/MTU/RTO Code Tax Year
Nature of Tax Admitted Income Tax Misc. CVT Month/Year 08 16
Payment
Demanded Income Tax Advance Income Tax Withheld Income Tax (Final) (only for payment u/s 149)

Withheld Income Tax (Adjustible) WPPF/WWF

Payment Section Payment Section Code

(Section) (Description of Payment Section) Account Head (NAM)

Taxpayer's Particulars (To be filled for payments other than Withholding Taxes) (To be filled in by the bank)

NTN CNIC/Reg./Inc. No.

Taxpayer's Name Status
Business Name
Address
FOR WITHHOLDING TAXES ONLY
NTN/FTN of Withholding agent 0800543-5 CNIC/Reg./Inc. No. 0800543-5
Name of withholding agent THE BANK OF PUNJAB - THE BANK OF PUNJAB
Total no. of Taxpayers 341 Total Tax Deducted 92,741

Amount of tax in words: Ninety Two Thousand Seven Hundred Forty One Rupees And No Rs. 92,741
Paisas Only
Modes & particulars of payment
Sr. Type No. Amount Date Bank City Branch Name & Address
1 Pay Order 03718946 92,741 05-Oct-2016 THE BANK OF LAHORE MM TOWER BRANCH, LAHORE
PUNJAB
DECLARATION
I hereby declare that the particulars mentioned in this challan are correct.
CNIC of Depositor

Name of Depositor THE BANK OF PUNJAB

Date

Stamp & Signature

PSID-IT-000061485053-082017 PSID Expiry Date :12-Nov-2016

Prepared By : BANKOFPUNJAB_1 - The Bank of Punjab Date: 13-Oct-2016 05:25 PM

Note: This is an input form and should not be signed/stamped by the Bank. However, a CPR should be issued after receipt of payment by
the Bank.