FORM III

Part I - A
Return-cum-Chalan
For the Profession Tax Officer
B.S.T.R.C. No., if any.
The Maharashtra State Tax on Professions, Trades, Callings And Employments
Act, 1975 AND Rule 11,11-A, 11-B, 11-C
0028, Other Taxes on Income and ExpenditureTaxes on Professions, Trades,
Callings and Employments-Taxes on Employments
Employees whose monthly Salaries, Wages
Do not exceed Rs. 2,000
Exceed Rs. 2,000 but do not exceed Rs. 2,500
Exceed Rs. 2,500 but do not exceed Rs. 3,500
Exceed Rs. 3,500 but do not exceed Rs. 5,000
Exceed Rs. 5,000 but does not exceed Rs. 10,000
Exceeds Rs. 10,000

Rate of tax per

month

No. of
Employees

Amount of
Tax deducted

Nil
Rs. 30
Rs. 60
Rs.120
Rs.175
Rs. 2,500 per
annum to be paid
in the following
manner:-(a) Rs. 200 per
month except in
the month of
February
(b) Rs. 300 per
month of February

Nil

Tax Amount
Interest Amount
Less-Excess tax paid, if any, in the previous
Year/ Quarter/ Month
Net Amount Payable
Total Amount Paid (in words)
Profession Tax Registration Certificate No.

0
#VALUE!
Period From

Period To

Name and Address

The above statements are true to the best of my knowledge and belief.
Date:
Place:

Signature & Designation

For the Treasury Use Only

Received Rs. (in Words)

Rupees (in Figures)

#VALUE!
Date of Entry :

Treasurer.

Finotax

Chalan No. :

Accountant.

Treasury Officer/Agent or Manager

1 of 3

FORM III
Part II
Return-cum-Chalan
For the Treasury
B.S.T.R.C. No., if any.
The Maharashtra State Tax on Professions, Trades, Callings And Employments
Act,Income
1975 AND
Rule 11,11-A, 11-B, 11-C
0028, Other Taxes on
and ExpenditureTaxes
on Professions, Trades,
Callings and Employments-Taxes on Employments
Rate of tax No. of

Amount of Tax

Tax Amount
Interest Amount
Less-Excess tax paid, if any, in the previous
Year/ Quarter/ Month
Net Amount Payable
Total Amount Paid (in words)
Profession Tax Registration Certificate No.
0
Name and Address

0
#VALUE!

Period From
0

Period To
0
0

The above statements are true to the best of my knowledge and belief.
Date:

Place:

Signature & Designation

For the Treasury Use Only

Received Rs. (in Words)

Rupees (in Figures)

#VALUE!

Date of Entry :

Treasurer.

Finotax

Chalan No. :

Accountant.

Treasury Officer/Agent or Manager

2 of 3

FORM III
Part II
Return-cum-Chalan
For the Payer
B.S.T.R.C. No., if any.
The Maharashtra State Tax on Professions, Trades, Callings And Employments
Act,Income
1975 AND
Rule 11,11-A, 11-B, 11-C
0028, Other Taxes on
and ExpenditureTaxes
on Professions, Trades,
Callings and Employments-Taxes on Employments
Rate of tax No. of

Amount of Tax

Tax Amount
Interest Amount
Less-Excess tax paid, if any, in the previous
Year/ Quarter/ Month
Net Amount Payable
Total Amount Paid (in words)
Profession Tax Registration Certificate No.
0
Name and Address

0
#VALUE!

Period From
0

Period To
0
0

The above statements are true to the best of my knowledge and belief.
Date:

Place:

Signature & Designation

For the Treasury Use Only

Received Rs. (in Words)

Rupees (in Figures)

#VALUE!

Date of Entry :

Treasurer.

Finotax

Chalan No. :

Accountant.

Treasury Officer/Agent or Manager

3 of 3