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FORM 11 |
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[See rule 16] |
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Statement of verification of collections under
The Chhattisgarh Vritti Kar Adhiniyam, 1995. |
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To,
The Treasury Officer,
...............................
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Total amount comprising of tax, penalty and
composition Money deposited in the treasuries and sub-
treasuries of
. district:- |
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Particulars |
Total Amount |
signature with seal of profession tax assessment authority and
treasury officer |
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(1) |
(2) |
(3) |
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Amount shown as Deposited according To profession tax
Assessing authoritys
Register.
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Amount shown as Deposited as per Treasury accounts-
(1) By Challan
(2) By the book transfer ( to be filled in by treasury
officer)
(3) Total |
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REFUNDS |
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Particulars |
as per profession tax assessing authority register |
as per treasury register |
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(1) |
(2) |
(3) |
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Total receipts
Amount refunded
Net collection |
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..
Signature of profession tax
assessing Authority
...................................
Signature of treasury officer. |
