FORM
VII[See Rule
14(3)]
Receipt for the amount of tax,
Interest and Penalty under the Andhra Pradesh Tax on Professions,
Trades, Callings and Employments Act, 1987 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) |
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Total Rs. |
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Rupees__________________________________________________________________________Credited to
___________________________ (Treasury) under Challan No.____________________
dated ____________________
Certified that the above particulars are true to the best of my knowledge
and belief.
Place
:
Signature
Date :
Designation
Additional sheet for Form VII :
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) |
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Total Rs. |
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