The Gujarat Value Added Tax Rules, 2006
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	Form 207	Sr. No. [9 digit]
	(See rule 23)

ORIGINAL	DUPLICATE	TRIPLICATE	QUADRIPLICATE
(For the Payer)	(Send to CTO)	(For treasury)	(Send by Treasury to CTO)

CHALAN

(UNDER THE GUJARAT VALUE ADDED TAX ACT, 2003)

0040 Taxes on Sales, Trades etc.

110-Trade tax Receipts under the GVAT Act,

Chalan of tax, penalty, interest and the cost awarded by the Tribunal paid to the Treasury/Sub-Treasury for the period from ______________ to ______________

By Whom Tendered

Payment on account of

Amount (in figures)

Rs.

Ps.

(01) Tax Collection under the Act,

(Treasury code 0040 00 110 011)

(a) Tax under section 13 of the Act.

(b) Purchase Tax U/s 9

Name and address of the person on whose behalf money is paid.

(d) Tax deducted at source U/s. 59B

(e) Deposits U/s 22

Registration No. _________________

(02) Surcharge under the Act.

(Treasury code 0040 00 110 02 8)

(03) Licence and Registration fees under the Act. (Treasury code 0040 00 110 03 5)

Rupees _____________

(04) Other receipt under the Act.

(Treasury code 0040 00 110 04 2)

In Words)

(a) Penalty

(b) Interest

Signature of Dealer or his authorised person

(d) Composition Money

Dated

Total

For use in the Treasury / Bank

1. RECEIVED PAYMENT OF Rs. _______________________________ (in Figure).

Rupees ____________________________________________________ (in words)

2. Date of Entry ______________________________________________

3. Chalan No. ________________________________________________

Treasury	Treasury Officer/Banker
	______________________________