FORM L Page 1of 2 PRESS CTRL-P TO PRINT BACK FORM L.T.1. CHALLAN OF LUXURY TAX UNDER SECTION 4 OF THE HIMACHAL PRADESH TAX ON LUXURIES (IN HOTELS AND LODGING HOUSES) ACT, 1979 Head of Account .... Original 0045 - Other Taxes and (For the payer) Duties on Commodities and Services-105 Luxury Tax-01 Tax Collection Challan of Luxury tax/Interest/Penalty paid into the ..... Treasury/Sub-Treasury/State Bank of India for the month(s) of ........... Name of Hotel ............. Amount .............. (in figures) Payment on account of ......Rs.....P.... By whom tendered: .......... (a) Luxury tax with reference to return/order No..... dated......... a. Interest under section 7-B.. b. Penalty with reference to order No........... Dated.......... c. Any other amount..... Name and address of the ............ http://hptax.nic.in/ltf1.htm 4/11/08 FORM L Page 2of 2 http://hptax.nic.in/ltf1.htm 4/11/08 proprietor on whose behalf the amount of luxury tax or interest for the month(s) of...... is paid ... .............. ............. .............. Total Rupees (in words) .................... .............................. .............................. Place: Signature of the proprietor/person making Date: payment on behalf of the proprietor. (For use in Treasury) 1. Received payment of Rs.....(Rupees........... ...........) from ................ 2. Date of entry........ Challan No....... Treasurer Accountant Treasury Officer/Agent or Manager.
