1

[FORM III
[PART I-A]
F
or the
Profession Tax
Officer
Return-cum-Chalan
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 Expenditure—Taxes on Professions, Trades,
Callings and Employments-Taxes on Employments

Employees whose monthly Salaries, Wages Rate of tax per No. of Amount of
month Emplo Tax deducted
yees
Do not exceed Rs. 2,000 Nil Nil
Exceed Rs. 2,000 but do not exceed Rs. 2,500 Rs. 30
Exceed Rs. 2,500 but do not exceed Rs. 3,500 Rs. 60
Exceed Rs. 3,500 but do not exceed Rs. 5,000 Rs. 120
Exceed Rs. 5,000 but does not exceed Rs. 10,000 Rs. 175
Exceeds Rs. 10,000 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
Tax Amount Rs.
Interest Amount Rs.
Less-Excess tax paid, if any, in the previous Rs.
Year/Quarter/Month
Net Amount Payable Rs.
Total Amount Paid (in words) Rs.
Profession Tax Registration Certificate No. Period From Period
To
Name and Address
The above statements are true to the best of my knowledge and belief.
Date: ...................................
Place: ................................. Signature &
Designation

1. Form III was substituted by G.N. No. TFT-1100/CR-57/Taxation-3, dated 11-10-2000, w.e.f.
1.4.2000.
For the Treasury Use Only
Received Rs. (in Words)................................... Rupees (in Figures)...................................
Date of Entry : Chalan No. :
Treasurer. Accountant. Treasury
Officer/
Agent or Manager.