THE CHHATTISGARH GOODS AND SERVICES TAX FORMS 2017
PAYMENT

Form GST PMT - 06

(See Rule 87(2) )

Challan for deposit of goods and services tax

CPIN

<<Auto Generated after submission of information>>

Date <<Current date>>

Challan Expiry Date --

Details of Deposit (All Amount in Rs.)
Government	Major Head	Minor Head
Government of India	Major Head	Tax	Interest	Penalty	Fee	Others	Total
	Central Tax (----)
	Integrated Tax (----)
	CESS (----)
	Sub-Total
State (Name)	State Tax (----)
UT (Name)	UT Tax (----)
Total Challan Amount
Total Amount in words

Mode of Payment (relevant part will become active when the particular mode is selected)

e-Payment (This will include all modes of e-payment such as CC/DC and net banking. Taxpayer will choose one of this)

Over the Counter (OTC

Bank (Where cash or instrument is proposed to be deposited)

Details of Instrument

Cash

Cheque

Demand Draft

NEFT/RTGS
Remitting bank
Beneficiary name	GST
Beneficiary Account Number (CPIN)	<CPIN>
Name of beneficiary bank	Reserve Bank f India
Beneficiary Bank's Indian Financial System Code (IFSC)	IFSC of RBI
Amount

Note: Charges to be separately paid by the person making payment.

Particulars of depositor
Name
Designation/ Status (Manager, partner etc.)
Signature
Date

Paid Challan Information
GSTIN
Taxpayer Name
Name of Bank
Amount
Bank Reference No. (BRN)/UTR
CIN
Payment Date
Bank Ack. No. (For Cheque / DD deposited at Bank's counter)

Note - UTR stands for Unique Transaction Number for NeFT / RTGS payment.