Documente Academic
Documente Profesional
Documente Cultură
ITARQPG29219P1819IN
Response Sheet Order
PAN AY
Communication Communication
Reference No. Reference No.
Current
The return for the above said assessment Year is processed but issue of refund has failed at CPC. Request you to fill this
response sheet and attach the list of document(s) mentioned below and send it by post to CPC for processing your refund
reissue request.
Name of Taxpayer:
Date:
Place:
Signature of Taxpayer
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18195335233000
Note:
. Please attach necessary documentary proof for Bank Account / Address as applicable in your case.
. Taxpayers can also file an Online Refund Re-issue request on E-Filing website by providing the account details,
such as account number, IFSC Code & account Type, of the account which is linked with your PAN.
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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