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    Amount in Words: Four Thousand Three Hundred and Twenty Three Rupees Only Due Date of Bill

    Uploaded by

    Bishal

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Amount in Words: Four Thousand Three Hundred and Twenty Three Rupees Only Due Date of Bill

    Uploaded by

    Bishal
    3 views2 pages

    Original Title

    321500_0524_005 (1)

    Copyright

    © © All Rights Reserved

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    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    3 views2 pages

    Amount in Words: Four Thousand Three Hundred and Twenty Three Rupees Only Due Date of Bill

    Uploaded by

    Bishal

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 2

    TAX INVOICE

    ORIGINAL FOR RECIPIENT

    Name of Service Provider: Hemant singh babu Name of Service Receiver:


    ICICI Home Finance Company Ltd
    Address of Service Provider:
    00, Ramdham colony,Near shivalik nagar, Auto Address of Service Receiver:
    BILL FROM

    stand,Haridwar-249402,Uttarakhand 301,3rd Floor,Dehradun-248009-Uttarakhand

    BILL TO
    State: Uttarakhand State: Uttarakhand
    GSTIN/ Unique ID: GSTIN/ Unique ID: 05AAACI6285N1Z6
    GST STATE CODE:05 STATE CODE:05

    Invoice Type Original Invoice Number 321500/0524/005 Invoice Date 10 Oct 2024 03:24 PM Place Of Supply Uttarakhand

    TAX PAYABLE UNDER REVERSE CHARGE Yes IF REVISED - ORIGINAL INVOICE NO NA IF REVISED - ORIGINAL INVOICE DATE NA PAN Number LZGPS0622C

    CGST SGST/UTGST IGST CESS TOTAL


    DESCRIPTION OTHER TAXABLE ABATEMENT/ VALUE
    Sr.No. OF SERVICES HSN/SAC CODE NET VALUE CHARGES VALUE DISCOUNTS Rate Tax Rate Tax Rate Tax Rate Tax (INCL.TAX)

    1 HFC RP PAYOUT 997159 4323.00 - 4323.00 - 4323.00


    FOR SEP 24

    Total 4323.00 - 4323.00 - 4323.00

    AMOUNT IN WORDS : FOUR THOUSAND THREE HUNDRED AND TWENTY THREE RUPEES ONLY DUE DATE OF BILL

    GST of 0 is payable by service recipient under reverse charge. Net amount excluding GST will be the final amount payable

    TERMS & CONDITIONS/DECLARATIONS: FOR ICICI Home Finance Co. Ltd.


    In conducting business as a DMA for ICICI Home Finance Company Limited (“ICICI HFC”), I/we hereby agree, confirm and declare that: (i) I/we have read, understood and agree to abide by the Code of Conduct
    dated July 14, 2008 issued by NHB (“Code of Conduct”) while sourcing and assisting in documentation for products and linked services to prospective customer of ICICI Home Finance Company; (ii) I have
    handed over a copy of the Code of Conduct to each of my employees/representatives working with us and have obtained a declaration (in the format as required by NHB and/or ICICI HFC) from each
    employee/representative with respect to them complying with the Code of Conduct while performing their duties; and (iii) I shall promptly submit a copy of such employee/representative declaration as and
    when requested by NHB and/or ICICI HFC.
    Total amount payable is subject to deduction of applicable TDS under Income Tax Act, 1961
    AUTHORIZED SIGNATORY

    1 of 2
    Annexure
    DisbursementNo/Request DisbursedDate(dd/mm/yyyy)/Request DisbursedAmount/Distance Broker Customer LoanScheme/Service PO Final
    Agreement No No Date Amount ID Name Type % PO SRNo/Details

    LHHWR00001634528 1140 17-09-2024 786000.00 SULEKH NON LAP 0.55 4323.00


    CHAND

    2 of 2

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