P.tax Return F-iii

FORM III [Sec rule 12]

Return of tax payable by registered employers under the West Bengal State Tax on Pro fession, Trades, Calling and Employment Act, 1979 ( Please type or use capital letters / figures while furnishing the following information.) Period From……..… to….…… (a) Registration Certification No. [In the first three boxes, please insert zone prefix,e.g., RCN, RCE,etc.] (b)Enrolment Certificate No. [In the first three boxes, please insert zone prefix,e.g., ECN, ECE,etc.] (c) Name of the employer

:

(d) Trade Name

:

(e) Address (including Room No., Floor No.,Police Station, Sub-division and postal Index No., i.e.PIN )

:.

(f) Telephone No. (if any)

:

(g) E-mail I.D.(if any)

:

(h) Website (if any)

:

(i))Tax payable for the * quarter / *year………. Tax paid for the * quarter /* year…………… Tax payable / paid in excess for the * quarter /* year………… (j) Interest payable for the * quarter/* year…………….. Interest paid for the * quarter /* year…………. Interest payable / paid in excess for the * quarter /* year………

: : : : : :

Summary of payments made for the quarter/year Month

Tax (Rs.)

Challan No.

Date of payment

Name of bank

Interest Rs.)

(in

Challan No.

Date of payment

Name of bank

April May Jun July August September October November December January February March Total payment for the year A separate statement showing the amount of tax deduction in accordance with the rate of tax specified in the Schedule to the Act in respect of the number of employees belonging to each salary-slab as specified in column against serialof the said Schedule is furnished herewith. The above statements are trun to the best of my knowledge and belief. Place : ……………………………….

Signature……………………………………..

Date : …………………………………

Status…………………………………………

* Strike out whichever is not applicable.

[Please see the reverse]

Employees whose monthly salaries or wages are

Number of Employees Apr May June

July

Aug

Rate of tax

MONTHS* Sep

Oct Nov Dec

Jan

Feb

Mar

Amount of tax deducted Apr

(i) Rs. 3000 or less

May

June

July

Total

MONTH* Aug

Sep

Oct Nov

Dec

Jan

Feb Mar

Nil

(ii) Rs. 3001….below 5001

Rs. 30 per month

(iii) Rs. 5001 ''

''

6001

Rs. 40

''

''

(iv) Rs. 6001 ''

''

7001

Rs. 45

''

''

(v) Rs. 7001

''

''

8001

Rs. 50

''

''

(vi) Rs. 8001 ''

''

9001

Rs. 90

''

''

(vii)Rs. 9001 ''

'' 15001

Rs.110 ''

''

(viii)Rs.15001 ''

''

25001

Rs.130

''

''

(ix) Rs. 25001 ''

''

40001

Rs.150

''

''

Rs.200

''

''

(x) Rs. 40001 and above

GRAND TOTAL

* In case of quarterly / annual returns, Particulars in respect of the relevant month of every quarter / year only are required to be furnished.

Signature…………………………………………...……… ( With date )

Status………………………………………………………..

2710.00