Form E 3
RETURN
[See subrules (1) and (2) of rule 10]
PART A
.
(Same as at Sl. No. 34 of the previous return)
PART B
Tax
subject to tax @1%.
subject to tax @2%.
((i) + (ii) )
PART - C
(to be filled in addition to Part B if the dealer is a manufacturer of scheduled goods)
30
(proof of payment to be attached)
No.
DECLARATION
I ............................... do solemnly declare that to the best of my knowledge and belief the information furnished in the above return is true and complete and that it relates to the period from ...................... to .............................................
Date:
Place:
FOR OFFICIAL USE ONLY
Period covered under the return ___________________________________
Date of receipt of the return ___________________________________
Amount of Tax paid ___________________________________
Mode of payment ___________________________________