FORM  VI[See Rule 14(2)]

                                                                                                                                                                                                                         ORIGINAL                                                                                                                                                                                                                        (For the Payer)

 

Paying in slip for making Payment to the Collecting Agents The A.P.Tax on Professions, Trades, Callings and Employments Act, 1987

 

Paying in slip for tax, interest, penalty and composition money paid to _______________________ _________________________________________________(Name of The Collecting Agent) for the period from___________________________________to___________________________________

 By whom tendered.

 

 

Payment on Account of

Amount (in figures)

Rs.                     Ps.

 

Name and address of the person in whose behalf the money is paid

 

(a)         Tax

   (b)         Interest   

(c)         Penalty   

(d)         Composition Money

   

Total

 

 

 

 

 

 

 

_______________

 

_______________

 

Enrolment Certificate No.:

 

 

Rupees (in words) __________________________________________________________________

 

                                                

Date :                                                                                                                              (Signature)  _____________________________________________________________________________________________________________

(To be used by the Collecting Agent)

 

Received the payment of Rupees ___________________ (in figures) Rupees __________________

_________________________________________________________________________(in words)

 

 

 

Date:  Slip No.

                                                                                                                                                                                                                Receiving Officer