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Gar 7

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For payments from G.A.R.

-7 Proforma for Servicer Tax (Receipt & Payment


April 2007 onwards Payments Rules 26)
Full Name
Complete Address

Telephone No. Pincode


Assessee Code No.
Commissionerate
Name
Commissionerate Division Code Range Code
Code

Amount Tendered in BANK’S COUNTERFOIL


Accounting Code of the service
Rupees
0 0 4 4 RECEIVING BANK BRANCH STAMP
0 0 4 4
0 0 4 4
0 0 4 4
0 0 4 4
0 0 4 4

Total
(In words) Rupees Only tendered by
By Cash/Cheque/Draft/Pay Order
Dated
No.
Drawn on
Signature of the Tender with date
------------------------------------------------------------------------------------------------------------------------------------------------

Accounting Code of the Amount Tendered in TAX PAYER’S COUNTERFOIL


service Rupees
0 0 4 4 RECEIVING BANK BRANCH STAMP
0 0 4 4
0 0 4 4
0 0 4 4
0 0 4 4
0 0 4 4

Total

Received from
Assessee Code No.
(In words) Rupees Only
By Cash/Cheque/Draft/Pay Order Date
No. d
Drawn on
On account of Union Service Tax as detailed in this taxpayer’s counterfoil and on stamp affixed and signed
therein.

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