THE RAJASTHAN VALUE ADDED TAX RULES, 2006 - FORMS
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Body

FORM VAT-41A Omitted w.e.f. 14-07-2014

[See rule 40 A (1), (3), (5) and (7)]

Certificate of deduction of Tax

	Counterfoil (to be retained by the purchaser)
	Original (to be issued to the selling dealer)

Form No.

Name of the office of issue

Date of issue (DD/MM/YYYY)

Seal of the issuing officer

To,

Registration No. (TIN)

1. Name of dealer

2. Address Building No/ Name

Area/ Town and City District (State)

Pin Code

E mail ID

I, ---------------- working as or holding post of -------- hereby certify that a sum of Rs. (in words)--------- Rs. (in figures) --------- has been deducted from the bill payable to you against the purchases given below. The said deducted amount has been deposited into the government treasury against your tax liability under the Rajasthan Value added tax Act, 2003, as per details given under.

3. Details of purchases made, tax deducted and deposited during the month:

[Apr/May/June/July/Aug/Sep/Oct/Nov/Dec/Jan/Feb/Mar]

S No.	Details of Purchase				Details of tax deducted and deposited				Remarks
S No.	VAT Invoice/ Invoice No.	Date	Amount	Amount of Tax to be deposited	Amount of Tax deducted	Amount of Tax deposited	Gross Amount of Challan	Date	Remarks
1	2	3	4	5	6	7	8	9	10

Place :	Signature :
Date :	Name :
	Status :

I/We verify that the above information and its enclosures are true and correct to the best of my/our knowledge and belief.

Place :	Signature :
Date :	Name :
	Status :

Verification of tax deposited by the issuing authority

(to be filled by the issuing authority)

The amount of Rs. (in words) ---------- Rs.(in figures)------------ deducted by ---------- has been deposited into the Government treasury as under:

Amount	Date of Deposit	RCR No.

Seal of office

Signature of the issuing authority