[See rule 25(2) of the Goa Value Added Tax Rules, 2005]
QUARTERLY STATEMENT OF TAX DEDUCTED AT SOURCE FOR THE PERIOD
FROM _________TO __________
|
| (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 | | | | | | |
|
| * 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:
|
______________________________________
Signature of the employer or his representative
|
