Post Bag No.

2, Electronic City Post Office, Bangalore-560500

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- 22546500
Telephone: 18004252229,18001034455 (Toll Free) or 080-22546500 $ÈôÙ: 18004252229,18001034455 (ÅæòÜÈ÷Úè) 080

ITAACHK98420E1718IN
Response Sheet Order
PAN AY
Communication Communication
Reference No. Reference No.

AACHK9840E 2017-18 CPC/1718/G3c/1739051258 CPC/1718/A2/1739051258

Particulars of Bank account / Address Details

Does the Bank Account Number mentioned in the return Yes No

belong to you?
If Yes please attach documentary proof in respect of the
same

If No, please indicate Bank Account Number standing in Bank Account No.
your name along with IFSC Code, Account Type and
attach documentary proof in respect of the same
IFSC Code

Account Type: Savings

Current

Does the Address mentioned in the return belong to you?

Yes No
If Yes please attach documentary proof in respect of the
same

If No, please provide Address standing in your name and

attach documentary proof in respect of the same

Processed but refund is withheld, for which a separate communication has been sent. Please respond accordingly.

Name of Taxpayer:
Date:
Place:

Signature of Taxpayer

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17188118036000
Note: Please attach necessary documentary proof for Bank Account / Address as applicable in your case.

Documentary proof for Bank Account: ORIGINAL AND CANCELLED CHEQUE LEAF issued by the bank with the
Account Number, IFSC Code and Name of the Account Holder pre-printed. Please ensure that the cheque is duly cancelled
by writing “Cancelled” across the face of the cheque leaf. The department will not be liable for any damage arising out of
un-cancelled cheque. Photocopy of cheque leaf will not be accepted.

Documentary proof for Address: Self-attested copy of any one of the following document(s)
Valid Passport
Election commission Photo ID Card
Aadhar Letter / Card / E-Aadhar
Latest Electricity / Telephone (Landline/Postpaid Mobile) / Gas / Water Bill
Valid Driving License
Ration Card
Photo Pass Book of running bank account (Scheduled Public Sector Banks / Scheduled Private Sector Indian Banks and
Regional Rural Banks only)

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