FORM - I

PROFESSION TAX -ARREAR - RETURN FORM

1.  Name                                                                   :
     (Individual/Firm) 

2. Address                                                                 : 

3. Profession / Trade / Calling                                      :

4. Half-Year up to which Profession
   Tax paid under the Tamil Nadu Act
   42 of 1992                                                               : 

5. Details of half-years for which                                   :  I/92-93; II/92-93
    Profession Tax not paid                                              I/93-94; II/93-94
    (Tick the half-year concerned)                                     I/94-95; II/94-95
                                                                                    I/95-96; II/95-96
                                                                                    I/96-97; II/96-97 
                                                                                    I/97-98; II/97-98
                                                                                    I/98-99.
6.   The number of half - years Profession                       :
    Tax due as per the Tamil Nadu Act 24
    of 1992.

7.    Total arrears due (Number of half-
     years x amount)                                                     :

8     Number of Half-yearly instalments in
    which arrears to be cleared (I half year                      :
    of 1992-93 to I half year of 1998-99)

9.  Details of number and date of chalan
   receiving 1^st installment.                                          :

Signature

 CERTIFICATE

     I ..................................................................... Certify that the particulars given above are true to the best of my knowledge. 

Signature

 ACKNOWLEDGEMENT 

     Received Statement of Arrears of Profession Tax along with Chalan No ................... Dated ....................... being the 1^st installment from Thiru / Tmt.................................. ................................................................. doing business at................................... .................................................................... engaged in the profession of................ ............................................................................... on ................................... 

 Signature