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KARNATAKA TAX ON PROFESSIONS, TRADES, CALLINGS AND EMPLOYMENTS RULES, 1976 - FORMS
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FORM 9-A

CHALLAN

[See Rule 19-A of the Karnataka Tax on Professions, Trades, Callings and

Employments Rules, 1976]

(To be submitted in original/duplicate/triplicate/quadruplicate)

Name of the Bank :
Branch :
Name of the Dealer :
Address of the Dealer :
RC No. of the Dealer :
Name of the Office :
Period of Payment Code of the Office:

Major Head 0042 Sub Head 106 Tax on Entry of Goods into Local Area  
Taxes on Goods and Passengers    
Payment on Account of Amount Rs. Cheque/DD Particulars
0042-00-106-0-01 Entry Tax Collection    
  (1) Tax accroding to returns    
  (2) Tax assessed    
  (3) Interest    
  (4) Penalty    
  (5) Others    
    Total  
Total in words Signature of the Depositor
FOR USE IN THE BANK
Received payment of Rs.    
Date of Entry    
Seal

Signature of the Banker