TIN/GRN  *
Name of the Dealer
Division	--Select-- ABIDS ADILABAD BEGUMPET CHARMINAR HYDERABAD RURAL KARIMNAGAR NALGONDA NIZAMABAD PUNJAGUTTA SAROOR NAGAR SECUNDERABAD TEST WARANGAL
Circle (Jurisdictional Assessing Authority)
Designation of Assessing Authority who passed order
Order Number
Order Date
Tax Period From - To  *	-
Select Act *	Select VAT CST TOT APGST Entertainment Tax Profession Tax Luxury Tax Entry Tax - Vehicles Entry Tax - Goods HRBT RDCESS
Balance tax payable as per order appealed against *
Disputed tax *
Admitted tax, if any *
Payment details of Admitted tax
Challan Number *
Challan Date  *
Amount *
Payment details of 12.5% of the disputed tax
Challan Number *
Challan Date  *
Amount*
If not paid, pay here