Form No. 3 - Return of Taxable Banking Transactions - Banking Cash Transaction Tax Rules, 2005

Form No. 3 [See sub-rule (1) of rule 6 of Banking Cash Transaction Tax Rules, 2005] Return of Taxable Banking Transactions BCTTS-3 n Please follow instructions. Acknowledgement n Use block letters only For Office use only 1. Name of the scheduled bank Receipt No. ..................... Date ................................. 2. Address of the scheduled bank Seal and Signature of Receiving Official 3. Permanent account number (PAN) 4. Financial year (Transactions relating to which are reported) - 5. Ward/Circle/Range 6. Value of taxable banking transactions Code* (Schedule) Value (in Rs.) 01. (A[4]) 02. (A[6]) 03. (A[8]) 04. (A[10]) Total 7. Total banking cash transaction tax collectible Code* (Schedule) Amount (In Rs.) 01. (A[5]) 02. (A[7]) 03. (A[9]) 04. (A[11]) Total (Schedule) 8. Total banking cash transaction tax collected (B[5]) 9. Total banking cash transaction tax paid (B[6]) 10.Banking cash transaction tax payable/refundable (7-9) 11.Interest payable under section 101 (B[7]) 12.Interest paid (B[8]) Verification I,..........(full name in block letters), son/daughter of.....solemnly declare that to the best of my knowledge and belief the information given in this return and schedules accompanying it is correct and complete and that the total value of taxable banking transactions and other particulars shown therein are truly stated and are in accordance with provisions of Chapter VII of the Finance Act, 2005 and Banking Cash Transaction Tax Rules, 2005. I further declare that I am making this return in my capacity as..........and I am also competent to make this return and verify it. Date ............................ Place .......................... (Name and Signature) *Codes in respect of taxable banking transaction S.No. Nature of transaction Code 1. Withdrawal of cash (by whatever mode) exceeding twenty-five thousand rupees on any single day from an account (other than a savings bank account) maintained by any individual or Hindu undivided family with any scheduled bank. 01 2. Withdrawal of cash (by whatever mode) exceeding one lakh rupees on any single day from an account (other than a savings bank account) maintained by a person other than any individual or Hindu undivided family with any scheduled bank. 02 3. Receipt of cash exceeding twenty-five thousand rupees from any scheduled bank on any single day on encashment of one or more term deposits, whether on maturity or otherwise, in case such term deposit or deposits are in the name of any individual or Hindu undivided family. 03 4. Receipt of cash exceeding one lakh rupees from any scheduled bank on any single day on encashment of one or more term deposits, whether on maturity or otherwise, in case such term deposit or deposits are in the name of a person other than any individual or Hindu undivided family. 04 Schedule - A 1. Name of the Bank .......................................... 3. PAN of the Bank .......................................... 2. Address of the Bank .......................................... 4. Financial Year .......................................... Sl. No Particulars of the Bench Value of taxable banking transactions entered into during the year and banking cash transaction tax collectible thereon Address of the Branch BSR Code of the Branch Code No. 1 Code No. 1 Code No. 1 Code No. 1 Value Tax Value Tax Value Tax Value Tax 1 2 3 4 5 6 7 8 9 10 11 Total Schedule - B 1. Name of the Bank .......................................... 3. PAN of the Bank .......................................... 2. Address of the Bank .......................................... 4. Financial Year .......................................... Month Taxable banking transaction Code Value of taxable banking transactions during the month Banking cash transaction tax collectible (In Rs.) Banking cash transaction tax collected (In Rs.) Banking cash transaction tax paid (In Rs.) Interest payable u/s 101 (In Rs.) Interest paid u/s 101 (In Rs.) Particulars of payment of banking cash transaction tax/interest u/s.101 Tax/interest (In Rs.) Name of the bank branch BSR code of bank branch Date of deposit Serial No. of challan Amount (In Rs.) 1 2 3 4 5 6 7 8 9 10 11 12 13 14 Total Total Notes: 1. Details required in Schedules A and B be furnished on computer media as specified in rule 6. 2. In Schedule A, annual details of values of taxable banking transactions entered into in each branch and BCTT payable thereon be given. 3. Details required in Schedule B be given separately for each month for each type of transaction (Codes 01 to 04). 4. Entry in column 3 of Schedule B in respect of a month shall be the monthly total of entries of column 5 of Form No. 1 (BCTTS-1) maintained by the branches. 5. Entry in column 5 of Schedule B in respect of a month shall be the monthly total of entries of column 6 of Form No. 1 (BCTTS-1) maintained by the branches.