MVAT PAYMENT OTHER THAN WITH RETURN

For the Payer                                                                                                                    Original
                                                               FORM 210
                                                     ( See rule 45 )
        Chalan in respect of payment made otherwise than with return by a dealer under Maharashtra Value Added
                                                      Tax.Act 2002
                          [0040-Sales Tax Receipts under the MVAT Act, 2002 ­ Tax Collection]
                                      [For Tax payment through Treasury / Bank ]

  1)    M.V.A.T. R.C. No, if any                                                      2)       C.S.T.R.C.No



  3)    Period                                       From                                             To


   4)   Name and address of the person or dealer on whose behalf money is paid




                 Payment on account of                       Amount ( in figure) Rs       Chalan of tax, penalty and composition money
                                                                                          paid to the .............................................
        (a) Sales Tax                                                                     Treasury/ Sub- Treasury ..............................
                                                                                          Reserve Bank of India.
        (b) composition under section 42

        (c) Interest under section
        (d) Penalty under section
        (e)Composition Money amount for
        compounding of offence
        (f) Fine under section 12 (2) or 14(3)
        (g) Fees payable under rule 73
        (h) Amount forfeited

                                                 Total Rs

        Amount in Words
        Crore                        Lac                    Thousand            Hundred              Tens                  Units




   Date: ________________________ Signature of Dealer or Depositor                              ________________________

   Place:._____________________                                   Designation                    ________________________

                                                            For Treasury use only.
   Received Rs_______________ In words _______________________________________________________
   Date of Entry______________ Chalan No____________ Treasury Accountant / Treasury Officer / Agent / Manager.




                                                                -1-
                                                               MVAT PAYMENT OTHER THAN WITH RETURN

To be sent to the Sales Tax Officer                                                                                           Duplicate
                                                               FORM 210
                                                     ( See rule 45 )
        Chalan in respect of payment made otherwise than with return by a dealer under Maharashtra Value Added
                                                      Tax.Act 2002
                          [0040-Sales Tax Receipts under the MVAT Act, 2002 ­ Tax Collection]
                                      [ For Tax payment through Treasury / Bank ]

   1)   M.V.A.T. R.C. No, if any                                                      2)       C.S.T.R.C.No



   3)   Period                                       From                                             To


   4)   Name and address of the person or dealer on whose behalf money is paid




                 Payment on account of                       Amount ( in figure) Rs       Chalan of tax, penalty and composition money
                                                                                          paid to the .............................................
        (a) Sales Tax                                                                     Treasury/ Sub- Treasury ..............................
                                                                                          Reserve Bank of India.
        (b) composition under section 42

        (c) Interest under section
        (d) Penalty under section
        (e)Composition Money amount for
        compounding of offence
        (f) Fine under section 12 (2) or 14(3)
        (g) Fees payable under rule 73
        (h) Amount forfeited

                                                 Total Rs

        Amount in Words
        Crore                        Lac                    Thousand            Hundred              Tens                  Units




    Date: ________________________ Signature of Dealer or Depositor                             ________________________

    Place:._____________________                                  Designation                    ________________________

                                                            For Treasury use only.
    Received Rs_______________ In words _______________________________________________________
    Date of Entry______________ Chalan No____________ Treasury Accountant / Treasury Officer / Agent / Manager.




                                                                -2-
                                                               MVAT PAYMENT OTHER THAN WITH RETURN

For the Treasury                                                                                                              Triplicate
                                                               FORM 210
                                                     ( See rule 45 )
        Chalan in respect of payment made otherwise than with return by a dealer under Maharashtra Value Added
                                                      Tax.Act 2002
                          [0040-Sales Tax Receipts under the MVAT Act, 2002 ­ Tax Collection]
                                      [For Tax payment through Treasury / Bank ]

  1)    M.V.A.T. R.C., if any                                                         2)       C.S.T.R.C.No



  3)    Period                                       From                                             To


   4)   Name and address of the person or dealer on whose behalf money is paid




                 Payment on account of                       Amount ( in figure) Rs       Chalan of tax, penalty and composition money
                                                                                          paid to the .............................................
        (a) Sales Tax                                                                     Treasury/ Sub- Treasury ..............................
                                                                                          Reserve Bank of India.
        (b) composition under section 42

        (c) Interest under section
        (d) Penalty under section
        (e)Composition Money amount for
        compounding of offence
        (f) Fine under section 12 (2) or 14(3)
        (g) Fees payable under rule 73
        (h) Amount forfeited

                                                 Total Rs

        Amount in Words
        Crore                        Lac                    Thousand            Hundred              Tens                  Units




   Date: ________________________ Signature of Dealer or Depositor                              ________________________

   Place:._____________________                                   Designation                    ________________________

                                                            For Treasury use only.
   Received Rs_______________ In words _______________________________________________________
   Date of Entry______________ Chalan No____________ Treasury Accountant / Treasury Officer / Agent / Manager.




                                                                -3-