[See rule 25(2) of the Goa Value Added Tax Rules, 2005]
QUARTERLY STATEMENT OF TAX DEDUCTED AT SOURCE FOR THE PERIOD
FROM _________TO __________
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(1) Name and address of the Employer | : | |
(2) Registration number of the Employer | : | |
(3) TIN if any | : | |
(4) Total amount of payments made during the quarter Rs. ____________________ chalan/scroll no..................... dtd.................. |
(5) Total amount of tax deducted at source Rs. | : | |
(6) Details of remittance | : | |
Sr. No. | Name & address of the contractor | TIN | Period | TDS Amount | | | | | |
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* enclose separate statement if necessary |
DECLARATION
I, ____________________do hereby solemnly declare that to the best of my knowledge and belief, the information furnished hereinabove is true and complete. |
Place:
Date:
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______________________________________ Signature of the employer or his representative
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