FORM 39

[See rule 44(2)(a)]

Certificate in respect of amount deducted under sub-section (1) of Section 27 of the Chhattisgarh Value Added Tax Act, 2005

Certified that the under mentioned goods have been purchased for Rs..................inclusive of commercial tax of Rs..........from M/s. ...........a dealer holding registration certificate No.........................under the Chhattisgarh Value Added Tax Act, 2003, under purchase order No.........dated........./*as per bill/*cash memo/*challan No........dated.......for and on behalf of the office of _________of the Central Government/*the State Government and an amount of Rs.......equal to the amount payable to the said dealer by way of commercial tax has been deducted from his bill and that the said amount has been paid into the Government treasury within the period specified in rule 44(1) of the Chhattisgarh Value Added Tax Rules, 2006 vide challan (Form 35) number ______ dated ____

*Strike whichever is not applicable.