CHALLAN Challan No.

THE WEST BENGAL STATE TAX ON PROFESSIONS, TRADERS, CALLINGS AND EMPLOYMENTS ACT, 1979
0028-Other Taxes on Income & Expenditure-00-107-Taxes on Professions , Traders, Callings & Employements

Name of the Tax Payers : Address : CODE-P4 Period from m y y y Period to m y y

Prof. Tax Registration / Enrolement No.

Particulars of Coins & Notes / Cheque Tax Interest Penalty Comp. Money Total Amount (In words) Rupees

Signature of the Depositor

Case No. if the payment relates to the assessed dues y y PTO Number Code

FOR BANK / TREASURY USE Bank / Treasury Code d Received Rs. ( Rupees ) Date of Entry d m m y y

Treasurer

Accountant

Treasury Offficer / Agent or Manager

OYMENTS ACT,

aders,