Form No 233 Form No 233
Chalan For Treasurty  Chalan For Treasurty 
Return-cum-chalan of tax payable by a dealer under M.V.A.T.Act, 2002  Return-cum-chalan of tax payable by a dealer under M.V.A.T.Act, 2002 
00400192-Sales Tax Receipts under M.V.A.T. ACT . 2002-Tax Collection 00400192-Sales Tax Receipts under M.V.A.T. ACT . 2002-Tax Collection
Periodicity of Return  Monthly Quarterly Six-monthly Periodicity of Return  Monthly Quarterly Six-monthly
P   P  
Type of Return Original Fresh Revised Type of Return Original Fresh Revised
P     P    
MVAT RC No 27123456789V MVAT RC No 27123456789V
CST RC NO 27123456789C CST RC NO 27123456789C
Period Covered By the Return From  To Period Covered By the Return From  To
Date Month Year Date Month Year Date Month Year Date Month Year
0 1 0 1 0 8 3 1 0 3 0 8 0 1 0 1 0 8 3 1 0 3 0 8
Name Of Dealer M/s Hot Oven Name Of Dealer M/s Hot Oven
Address X X X X, X X X X                                                X X X X, X X X X                                              X X X X, Maharashtra. Address X X X X, X X X X                                                X X X X, X X X X                                              X X X X, Maharashtra.
PIN  x x x x x x PIN  x x x x x x
   
Tax( Rs.) 114000/- Tax( Rs.) 114000/-
Interst ( Rs.) NIL Interst ( Rs.) NIL
Penalty (Rs) NIL Penalty (Rs) NIL
Total ( Fig) 114000/- Total ( Fig) 114000/-
Total ( Words)   Total ( Words)  
Crore Lakh Thousands Hundreds Tens Crore Lakh Thousands Hundreds Tens
                           
Date 2 1 0 4 0 8 Signature of Depositor Date 2 1 0 4 0 8 Signature of Depositor
Place PUNE Place PUNE
For Bank / Treasury Use. For Bank / Treasury Use.
Amount Received( Fig)                     Amount Received( Fig)                    
Amount Received( Words)                     Amount Received( Words)                    
Date of Entry                     Date of Entry                    
Chalan / CIN No.                     Chalan / CIN No.                    
Space for Bank's / Treasury's Stamp Signature of Treasury Account / Treasury Officer / Agent / Manager's  Space for Bank's / Treasury's Stamp Signature of Treasury Account / Treasury Officer / Agent / Manager's