Chhattisgarh Commercial Tax Act - 1994

FORM 39

[ See Rule 40(2)]

CHALAN

The Chhattisgarh Commercial Tax Act, 1994

(040- Commercial Tax/ Taxes under the State Commercial Tax Act)

Chalan of tax/ penalty/ registration fee/ licence fee/ Composition money paid to ............................... Government treasury/ sub- treasury/ branch of bank of

By whom tendered

Name and address of the dealer on whose money is paid and R.C.No., Licence No. & case No., if any

Payment on account of

Amount (to be entered in figures)

1

2

3

4

(a)

Tax according to return for the period from

to

(b)

Tax demanded after assessment for the year

to

©

Purchase tax

(d)

Composition money

(e)

Penalty

(f)

Interest

(g)

Registration fee

(h)

Licence fee

(i)

Miscellaneous

TOTAL

Under Rs. (In words) .........................................

Total Rs......................................(in figures) Rs.............................................................. (in words)

Dated

Signature of the dealer or depositor

For use in the Treasury or Bank

1. Received payment of Rs………….. ( in figures) Rs…………..………( in words)

2. Date of entry

Treasurer

Accountant

Treasury Officer/ Agent or Manager