The Jharkhand Value Added Tax Forms , 2005
-

Body

FORM JVAT 400

GOVERNMENT OF JHARKHAND

COMMERCIAL TAXES DEPARTMENT

CERTIFICATE OF TAX RECOVERY AT SOURCE.

[See Rule 23(2)(c) & 24(3)]

01.	Office of the __________________
	of Commercial Taxes __________
	___________________Circle
	_______________________________

Date

Month

Year

03. Name:	_____________________________________________________________________
Address:	_________________________________________________________________
	________________________________________________________________

4. Tax Deducted at Source (TDS) For the Month ……… Year …………

I / We _______________________________________ certify that a sum of Rs._____________ was collected being the amount payable by M/s.________________________________________

TIN

towards Value Added Tax collected at the rate of __% on the total

value of the contract and the amount has been paid to the sales tax (Major Head "0040") credit of Government of Jharkhand.

05.	Date of the Contract / supply order
06.	Nature of Contract / Supply order
07.	Full Value of Contract / Supply order
08.	Bill No. / Voucher Cash Memo and Date
09.	Amount paid in the bill and Date of payment
10.	Amount of Value Added Tax Collected @ __% of Col.8 above
11.	Remittance Particulars to the Government.

Date:

Signature of the Officer / Person responsible for Deduction of tax/ remittance to Commercial Taxes Department"

Designation: