FORM III
[See rule 12]
Return of tax payable by registered employers under the West Bengal State Tax on Professions, Trades, Calling and Employments Act, 1979.
(Use capital letters only while furnishing the following information)
A. Registration No :.................................................................................................................................
B. Enrolment No (if any) :............................................................................................................................
C. Please tick whichever is applicable: Original Return / Revised Return
D. Acknowledgement No. of the original return, in case of revised return :......................................
E. Period : From .......................................................................... To....................................................
F. Name of the employer :.........................................................................................................................
G. Trade Name / Name of the Organisation (if any) :.............................................................................
H. Address :............................................................................................................................................
I. Telephone No (with STD) code) :..........................................................................................................
J. Mobile phone No :...............................................................................................................................
K. Email id :.................................................................................................................................................
L. Profession Tax deducted / payable under this return period:
(in Rs. per month)
(Rs.)
M. Table for Payment of Arrear :
Q. Summary of payment made during this return period :
(dd/mm/yyyy)
I do hereby declare and/or affirm that :
1. The information furnished above as well as in the Annexure hereto are true to the best of my knowledge and belief; and
2. I am aware of the fact this return along with Annexure in paper form accompanied by proof of payment, showing payment of tax, interest and late fee payable according to this return, shall have to be furnished to the prescribed authority within the time limit as prescribed in rule 12.
Annexure to Form III (Part A)
To be filled in by a contract manpower user engaging manpower from or through any manpower supplying agency during the return period
enrolment
number
registration
Annexure to Form III (Part B)
To be filled in by the manpower supply agency