Application Format for Challan Correction to be requested by the Assessee to Bank.

To,

The Branch Manager,
------------------
(Address of Branch)

Taxpayer Details :
Taxpayer Name :
Taxpayer Address :
Taxpayer TAN/PAN :
Name of Authorized Signatory :
(in case of non-individual taxpayer)
Sub : Request for Correction in Challan No: 280/281/282/283
(Strike out which ever is not applicable)
Sir/Madam,

I request you to make corrections in the challan data as per following details :
Challan Details:

BSR Code Challan Tender Date (Cash/Cheque Deposit Date) Challan Sl. No.
Sl. No. Fields in which correction required Please Tick Original Details Modified Details

1. TAN/PAN (10 digit)
2. Assessment Year (YYYY)
3. Major Head code (4 digit)
4. Minor Head code (3 digit)
5. Nature of Payment (3 digit)
6. Total Amount (13 digit)

Note: Please tick against the relevant fields where changes are required.

Tax payer/Authorized Signatory

Date

ENCL:

• Attach copy of original challan counterfoil.
• In case of correction to challan 280, 282, 283 attach copy of PAN card.
• In case of a non-individual tax payer, attach the original authorization with seal of the non-individual tax-payer.
• The request form for correction is to be submitted in duplicate to the bank branch.
• A separate request form is to be submitted for each challan.