Follow the steps to complete the form online.

1. Click ‘Get Form’ button to obtain the form and open it for editing.
2. Begin by filling in the name and address of the dealer on whose behalf the payment is being made. Include the Tax Identification Number (TIN) for accuracy.
3. Indicate the account of payment. Specify the amount to be paid in figures for various categories such as tax, penalty, interest, registration fee, etc.
4. For tax details, enter the amount according to the return for the specified period. Clearly mention the dates to reflect the accurate duration.
5. If applicable, include details of any tax demanded after assessment. Specify the assessment year, case number, and the assessing authority for proper documentation.
6. Ensure all payment information is filled out correctly, including totals. Summarize the payment in both figures and words to minimize errors.
7. Finally, add the date and provide a signature of the dealer or depositor to complete the form.
8. Once the form is completed, you can save changes, download, print, or share it as needed.

Start filling out your documents online today for a hassle-free experience.