PART 1 - A Profession Tax Registration Certificate No. B.S.T.R.C. No.

If Any

FORM III
For the Treasury

PART III Profession Tax Registration Certificate No. B.S.T.R.C. No. If Any
For the Payer FORM III RETURN - CUM CHALLAN The Maharashtra State Tax on Professions, Trades, Calling and Employment Act. 1975 and Rule 11, 11-A, 11-B, 11-C
0028, Other Taxes on Income & Expenditure - Taxes on profession, Trades, Calling and Employments - Taxes on Employments.

Profession Tax Registration Certificate No. FORM III RETURN - CUM CHALLAN For Profession Tax Officer The Maharashtra State Tax on Professions, Trades, Calling and Employment Act. 1975 and Rule 11, 11-A, 11-B, 11-C
0028, Other Taxes on Income & Expenditure - Taxes on profession, Trades, Calling and Employments - Taxes on Employments.

B.S.T.R.C. No. If Any

Employees Whose Monthly Salaries, Wages are

Rate of Tax pm In Rs.

No of Employees

Amount of Tax Deducted

Employees Whose Monthly Salaries, Wages are

Rate of Tax In Rs.

No of Employees

Amount of Tax Deducted

Upto Rs. 5000 Rs. 5001 to Rs. 10,000 Rs. 10001 & Above

Nil 175 200

Nil

Upto Rs. 5000

Nil 175 200 300

Nil

Part II
FOR THE TREASURY

Rs. 5001 to Rs. 10,000 Rs. 10001 & Above Rs. 10001 & Above (February)

Rs. 10001 & Above (February)

300

FORM III - RETURN - CUM CHALLAN The Maharashtra State Tax on Professions, Trades, Calling and Employment Act. 1975 and Rule 11, 11-A, 11-B, 11-C
0028, Other Taxes on Income & Expenditure - Taxes on profession, Trades, Calling and Employments - Taxes on Employments.

Tax Amount Interest Amount Less: Excess Paid Earlier Net Amount Payable
P. Tax Registration Certificate No.

Rs. Rs. Rs. Rs.
Period From Period To

Tax Amount Interest Amount Less: Excess Paid Earlier Net Amount Payable
P. Tax Registration Certificate No.

Rs. Rs. Rs. Rs.
Period From Period To

Tax Amount Interest Amount Less: Excess Paid Earlier Net Amount Payable
P. Tax Registration Certificate No.

Rs. Rs. Rs. Rs.
Period From Period To

Name & Address

Name & Address

Name & Address

The above statements are true to the best of my knowledge and belief

The above statements are true to the best of my knowledge and belief

The above statements are true to the best of my knowledge and belief

Date : Place : For Treasury Use Only Received Rs. (In Words)
Signature & Designation

Date : Place : For Treasury Use Only Received Rs. (In Words)
Signature & Designation

Date : Place : For Treasury Use Only Received Rs. (In Words)
Signature & Designation

(in Figures)

(in Figures)

(in Figures)

Date of Entry :

Challan No.

Date of Entry :

Challan No.

Date of Entry :

Challan No.

Treasurer

Accountant

Teasury Officer / Agent or Manager

Treasurer

Accountant

Teasury Officer / Agent or Manager

Treasurer

Accountant

Teasury Officer / Agent or Manager

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