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DEPARTM TAX BoDV LocAL coRpoRATtoN MuNtctpAL AHMEDNAcAR
M- CHALLAN RN- CU F OR ME '1 [S e eRule 29 ( 2] ( bll RETU FORMOF HAI.FYEARLYRETURN
To

Period From
I

Number LocalBodyTax Registration
Name of Dealer

2

Address & Tele No. E - m a ia l ddress
M o b i t eN o .

4

Calculationof Local Body Tax Payable:A) Valueof Goods receivedfor consumption,use or sale iinclusive of goocisreturned) '1 dealer fromLocalBodytax Registered . Purcnase B) Deduct 'l Free) u/s 52 Q (Tax 2. Exernption Govt) for StateiCentral u/r2BiGoc,ds 3. Exemotion of gootJ';rnpc{ed for export ulr 32 4. Valr.re within slxmonths of P.cturn/rejection Receipt on accoui-,t Ru.
RS

I

Rs Rs Rs
RS

5

of Local Bod Tax Payable :Galculation imported Commodity (Received) by sched Goodscovered Fntry
z

Rate of LtsT applicable

Value of goods liable for iocal body tax

of localbody Arnount tax peyaole

1

3

4

6

28) Goodsimportedfor process{u1r regarding lnformation A) Open stock at the beginning on job work duringthe half year B) Value of goods importedfor processing till end of the half year (A+B) in premlses C) Valueof total goodsfor processing D) Value of goods processed& exportedout of the above during the half year E) Total balance left in premises at the end of this half year (C-D)

Rs. Rs.
Rs.

Rs.
Rs.

7 I 9 10

within6 months Valueof goods liablefor locai Body Tax as not exported Less refund u/r 32 Total Local Body Tax PaYable for delayedPaYament lnterest

Rs. Rs.
RS.

Rs.
RS.

1 1 Amount payable 12
paidwiththisLocal Rs lnWords Bodytax Challan Amount
.dated...............

1 3 Amount Paid Cash/ChequeNo..
14
Name Bank

Rs

Branch

and belief) is trueto the best of my knowledge (Theaboveinformation Date :Signature

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