Tax Payment Certificate (Under Section 4) (For One time Tax Payment)

[See Rule 12] Tax Payment Certificate (Under Section 4) (For One time Tax Payment)

1. Registration No. of the vehicle ...................................Model …………………. 2. Date of Registration............................................................................................ 3. Name of the Owner ............................................................................................

4. Address..............................................................................................................

5. Gross Vehicle Weight.........................................................................................

6. Un-laden Weight......... ........................................................................................

7. Seating Capacity (Including Driver)....................................................................

8. Rate of One Time Tax Rs...................................................................................

9. Paid amount Rs. ……………………………………………………………….

Receipt No. ………………………………. Date ……………………………..

Signature of the Taxation Officer

Dated ..................................

Region/sub-region