Single (Copy To Be Sent The ZAO)
Single (Copy To Be Sent The ZAO)
Complete Address With City and State AN 3 & 3A, SHALIMAR BAGH, DELHI
Drawn on
(Name of Bank and Branch)
Date Signature of person making Payment Rs.
Taxpayers Counterfoil(To be filled up by the tax payer ) SPACE FOR BANK SEAL
PAN AAACE2955M
Received From
EXPONENTIAL FINANCIAL
SERVICES PVT. LTD.
Cash/Debit to Ac/Cheque No For Rs.
Rs in Words
Drawn on
(Name of the Bank and Branch)
On Account of
Income Tax on
Type of Payments
for the Assessment Year 2009 - 10 Code Rs.