RESPONSE SHEET FOR INCOME TAX REFUND

Response sheet (for refund reissue request)

Kindly fill the details and mail it to-

Centralized processing center

Post box no.1, electronic city post office, Bangalore-560100

PAN

CPC Order Reference No.

Date

1. For change in bank account number details:

Particulars of bank account	Details
Name of bank
Branch address
Bank account
Account type (saving/current)
MICR Code (9 digit)

Enclose the following for proof

Kindly enclose an “ORIGINAL, SIGNED AND CANCELLED CHEQUE LEAF” along with the response sheet. Please ensure that the CHEQUES ARE ONLY CENCELLED by writing “Cancelled” across the face of the cheque leaf before sending it. The department will not be liable to any damage arising out of un-cancelled cheques. Xerox copies of cheque leaf will not be accepted.

Kindly fill the relevant details and mail it to

Name of assessee:

Email Id:

Mobile No:

Date:

    Signature of Assessee

(*Signature of Only the Taxpayer Ids Accepted)