Panchayat:Repo18/Law Manual Page0537

As my job in this period is in the.......................establishment ................... the local authority

has levied Rs.....................as profession Tax.

Total.....................

Serial Particulars Wages Expenditure Remarks No. Rs. Rs.

2. AGRICULTURAL INCOME 1 Income from paddy cultivation in.................hectare/acre.............cent/are of land. 2 Income from other items in ......................hectare/acre ............. cent/are of land . 3 Income from agricultural land and other items.

As may permanent residence is under .......... local authority the income furnished here

is from my agricultural property within the ..................... Village Panchayat

Income derived by me from............. properties under..........local authority, also furnished

here.

Total ...................

Serial Particulars Amount Remarks No. Rs. Ps 3. FROM OTHER EMPLOYMENT Estimated income for the year .......for levying tax by income Tax Department.Income relating to.......business.


Since account for this year has been prepared amount of the same period in the last year. Total: Aggregate Total:


Since my permanent residence/place of work is under. .............local authority, an amount of Rs....... has been assessed as profession tax on me for the year.... particulars furnished in this statement about me as/has not been taken into account there proper and true account on details given above has/has not been maintained.

(Sd.) Employer/establishment/ Date: person/tax payer.

Explanatory Note

(This does not form part of the Notification, but is intended to indicate its general purpose.)

Section 204 of the Kerala Panchayal Raj Act, 1994 (13 of 1994) empowers the Village Panchayat to levy profession tax from those who are working in the area of a Village Panchayal. This Notification is intended to achieve the said object.