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A R - 7

PROFORMA FOR Service Tax PAYMENT

Receipt & Payment Rules 26

Full Name Complete Address.

Telephone No. Assessee Code No. Commissionerate Name Commissionerate Code Tax Paid for the Period / Month : Accounting Code of Service 0 0 4 4 0 0 0 4 4 0 0 4 4 0 0 4 4 0 0 4 4 0 0 4 4 0 0 4 4 Total (In words) Rs. Division Code April - June 2008 Amount Tendered in Rupees 2

Pin Code :

Range Code

Receiving Bank Branch Stamp

Forty Five Thousand Eight Hundred Ninety Two Only Dated Signature of the Tenderer Acknowledgement April - June 2008 Amount Tendered in Rupees 0 0 0 0 0 Drawn on

tendered by

CASH/Cheque/Draft/Pay Order No. Date : -

"" Tax Paid for the Period / Month : Accounting Code of Service 0 0 4 4 0 0 0 0 0 0 4 4 0 0 4 4 0 0 4 4 0 0 4 4 0 0 4 4 0 0 4 4 Total (In words) Rs. Received From : Assessee Code No. CASH/Cheque/Draft/Pay Order No. -

""

TAX PAYER'S COUNTERFOIL

Receiving Bank Branch Stamp

0 0 0 0 2

Forty Five Thousand Eight Hundred Ninety Two Only

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Dated 01/00/1900 Drawn on


0

on account of Union Service Tax detail in this taxpayer's counterfoil and stamp affixed and signed therein

A R - 7

PROFORMA FOR Service Tax PAYMENT

Receipt & Payment Rules 26

Full Name Complete Address.

Telephone No. Assessee Code No. Commissionerate Name Commissionerate Code Tax Paid for the Period / Month : Accounting Code of Service 0 0 4 4 0 0 0 4 4 0 0 4 4 0 0 4 4 0 0 4 4 0 0 4 4 0 0 4 4 Total (In words) Rs. Division Code April - June 2008 Amount Tendered in Rupees 2

Pin Code :

Range Code

Receiving Bank Branch Stamp

Forty Five Thousand Eight Hundred Ninety Two Only Dated Signature of the Tenderer Acknowledgement April - June 2008 Amount Tendered in Rupees 0 0 0 0 0 Drawn on

tendered by

CASH/Cheque/Draft/Pay Order No. Date : -

"" Tax Paid for the Period / Month : Accounting Code of Service 0 0 4 4 0 0 0 0 0 0 4 4 0 0 4 4 0 0 4 4 0 0 4 4 0 0 4 4 0 0 4 4 Total (In words) Rs. Received From : Assessee Code No. CASH/Cheque/Draft/Pay Order No. -

""

TAX PAYER'S COUNTERFOIL

Receiving Bank Branch Stamp

0 0 0 0 2

Forty Five Thousand Eight Hundred Ninety Two Only

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Dated 01/00/1900 Drawn on


0

on account of Union Service Tax detail in this taxpayer's counterfoil and stamp affixed and signed therein