The West Bengal Sales Tax - Forms
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FORM 25C

[See rule 177 (2)]

Statement of compounded amount of tax payable under section 30A of the West Bengal Sales Tax Act, 1994 for the quarter ending the ........................ day of ..............................

Name of the dealer ....................................................... carrying on business under the trade name of .........................................

Class of business ......................................................................................................................

Address of the dealer ................................................................................................................

Dealer's registration certificate No. under the Act ...................................................................

Permanent Account No. of the dealer under the Income Tax Act, 1961 .....................................................

Enrolment certificate No. of the dealer under the West Bengal State Tax on Professions, Trades, Callings and Employments Act, 1979 .......................

1.	Amount payable according to sub-section (3) of section 30A	Rs. .............................

2.	Amount paid :

Challan No.	*Reserve Bank of India, Calcutta/Government Treasury.	Dated	Amount
......................	........................................	.........................................	Rs. .................................

The above statement is true to the best of my knowledge and belief.

	..........................................................
	(Signature with status)

Date..................................	Status: .............................................