For payments from April 2007 onwards

G.A.R.-7 Proforma for Service Tax Payments

(Receipt & Payment Rules 26)

Full Name Complete Address

Telephone No. Assessee Code No. Commissionerate Name Commissionerate Code

Accounting Code of the Service

Pincode

Division Code
Amount Tendered in Rupees

Range Code

0 0 4
0 0 4 0 0 4
0 0 0 0 0 0 4 4 4

4
4 4
4 4 4
Total

RECEIVING BANK BRANCH STAMP

(In words) Rupees Cash/Cheque/Draft/Pay Order No. Signature of the Tenderer with date Accounting Code of the Service Amount Tendered in Rupees Dated Drawn on

Only) tender ed by

BANK'S COUNTERFOIL TAX PAYER'S COUNTERFOIL

RECEIVING BANK BRANCH STAMP

0 0

0 0

4 4 4
4

4 4 4
4

0 0
0 0

4
Total

Received from Assessee Code No. (In words) Rupees By Cash/Cheque/Draft/Pay Order No. Dated Drawn on on account account of of Union Union Service Central Tax Excise Duties as in this bank's counterfoil on stamp affixed and signed therein on as detailed indetailed this taxpayer's counterfoil and onand stamp affixed and signed therein. Only