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THE HARYANA VALUE ADDED TAX - FORMS
-

FORM VAT- C1

(See Rule 35)

CHALLAN

Scroll No: ____________________

Date:_________________

(To be allotted by Bank)

(To be filled in by Depositor)________________________________________________

By whom tendered :__________________________________________________________________

_______________________________________________________________________

Name and address of person with TIN on whose behalf money is deposited : ______________

_______________________________________________________________________

District: _______________________ TIN :

0

6

                 

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(Act under which payment made - Tick ( ) the relevant box)

Act:

VAT

CST

LADT

Excise

PGT

Entt.

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(i) Voluntary

Tax Amount (Rs.) _____________

Tax Period ________________

     

(ii) Recovery

   

against Demand

Amount (Rs.) _____________

Demand No. ________________

     

(iii)Fee

Amount (Rs.) _____________

Purpose ________________

(iv) Duty

Amount (Rs.) _____________

Purpose ________________

(v) Security

Amount (Rs.) _____________

Purpose ________________

(vi) Others

Amount (Rs.) _____________

Purpose ________________

Total [(i) to (vi)]

Amount (Rs.) _____________

________________

Total [(i) o (vi) ]in words: - _________________________________________________

(Signature of depositor)

________________________________________________________________________

(To be filled in by the Treasury)

Treasury Code:

         

DDO Code:

     

Major Head

Sub Major

Head

Minor

Head

Sub

Head

Detail

Head

                           

(Head of Account)

   

Amount

Rs. ______________

 

 

Computerised Serial No. as allotted by Treasury ___________

(Signature of the Officer)

Ordering the money to paid in