ltf4 Page 1 of 2 PRESS CTRL-P TO PRINT BACK FORM L.T. IV (See clause (c) of the sub-rule(1) of rule 5 and sub-rule (1) of rule 6 of the Himachal Pradesh Tax on Luxuries (in Hotels and Lodging Houses) Rules, 1979) MONTHLY ABSTRACT OF REMITTANCE OF LUXURY TAX AND INTEREST AND QUARTERLY RETURN Name of the Hotel ..................... Month Total No. Total charges recovered Total Luxury tax and (Quarter) of guests for accommodation interest remitted for residence --------------------------------- Luxury Interest Tax 1 2. 3. 4(a) 4(b) http://hptax.nic.in/ltf4.htm 4/11/08 Luxury tax and interest paid to Government Remarks Amount Challan No. Balance Date 5(a) 5(b) 5(c) 6 Dated...... Signature....... ltf4 Page 2 of 2 Name.......... Designation...... I, the above named Shri......residing at..... Do hereby solemnly affirm and say that the contents of the above return are true according to the best of my information and belief. Place: Signature of Proprietor. Date : http://hptax.nic.in/ltf4.htm 4/11/08
