FORM 42
[see rule 44(4)(b)]
Certificate
To,
________________________
I, hereby direct you to pay the sum to_________________(name and address of the dealer/contractor) holding registration certificate No.______________(if any) under Chhattisgarh Value Added Tax Act. 2005 on account of the sale or supply/ contract order No_________ date_____________ for Rs.___________________(in figures)____________________________ in words) _____________________________________ without deduction of any amount or deduction at .......................... rate towards tax payable.
* Strike out whichever is not applicable.