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KARNATAKA TAX ON PROFESSIONS, TRADES, CALLINGS AND EMPLOYMENTS RULES, 1976 - FORMS
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FORM 15

[See Rule 25(2)]

Receipt for the amount of tax, interest and penalty under the Tax on Professions, Trades, Callings and Employments credited to the Government Treasury by the Collecting Agent.

Name of the Collecting Agent

Address of the Collecting Agent

Statement for the month of:

Sl. No. Name and address of the person from whom the amount was collected No. Of Enrolment Certificate of the person The period to which the payment relates Amount
1 2 3 4 5
 
  		 
 
 
Total Rs.
 		  

(Rupees. . . . . . . . . . . . . . . . . . . . )

Credited to . . . . . . . . . . . . . . . . . .(Treasury) under Challan No. . . . . . . . . . . . . . . . dated . . . . . . . . . . . . . . . . . .Certified that the above particulars are ture to the best of my knowledge and belief.

Place: Signature
Date: Designation.