PART-I

CHALAN

FOR TREASURY

PART-II

CHALAN

FOR THE PROFESSION TAX OFFICER

PART-III

CHALAN

FOR TAX PAYER

MTR -6 (See Rule 11, 11C, 11E and 20 of the Profession Tax Rules 1975) ACCOUNT HEAD:-00280012 1) III GRN Form-ID 2) IIIB 3) VIII (Select the applicable One) Department of Date:Department Sales Tax Profession Tax Act, Payee Details 1975 Type of 1) RC PT (RC/EC) NUMBER Payment 2) EC (TIN)
(Select the applicable one)

MTR -6 (See Rule 11, 11C, 11E and 20 of the Profession Tax Rules 1975) ACCOUNT HEAD:-00280012 1) III GRN Form-ID 2) IIIB 3) VIII (Select the applicable One) Department of Date:Department Sales Tax Profession Tax Act, Payee Details 1975 Type of 1) RC PT (RC/EC) NUMBER Payment 2) EC (TIN)
(Select the applicable one)

MTR -6 (See Rule 11, 11C, 11E and 20 of the Profession Tax Rules 1975) ACCOUNT HEAD:-00280012 1) III GRN Form-ID 2) IIIB 3) VIII (Select the applicable One) Department of Date:Department Sales Tax Profession Tax Act, Payee Details 1975 Type of 1) RC PT (RC/EC) NUMBER Payment 2) EC (TIN)
(Select the applicable one)

Full Name of the Tax payer Location Period FROM Account Head Details Amount of Tax Interest Amount Penalty Amount Composition Money Fine Fees Advance Payment TO Code 1 2 3 4 5 6 7 Amount in words:Thirty Thousand Only Total Total Amount in Rs. Remarks if any:FROM Account Head Details Amount of Tax Interest Amount Penalty Amount Composition Money Fine Fees Advance Payment Location Period TO Code 1 2 3 4 5 6 7 0

Full Name of the Tax payer Location Period FROM Amount in Rs. Amount in words:Thirty Thousand Only Total Remarks if any:Account Head Details Amount of Tax Interest Amount Penalty Amount Composition Money Fine Fees Advance Payment TO Code 1 2 3 4 5 6 7 0

Full Name of the Tax payer

Amount in Rs. -

Remarks if any:-

Amount in words:Thirty Thousand Only -

Signature of Person who has made payment

FOR BANK/TREASURY Payment Details For use in Receiving Ban Bank CIN No. Date Name of Branch Time Scroll No.

Signature of Person who has made payment

FOR BANK/TREASURY Payment Details For use in Receiving Ban Bank CIN No. Date Time Scroll No.

Signature of Person who has made payment

FOR BANK/TREASURY Payment Details For use in Receiving Ban Bank CIN No. Date Time Scroll No.

Name of Bank

Name of Bank

Name of Bank

Name of Branch

Name of Branch