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FORM VAT- XVIII(TRIPLICATE)

[See rule 25(1)]

Challan for remittance of tax deducted at source

Under section 28(2) of the Goa Value Added Tax Act, 2005 (Act 9 of 2005).

0040 - Taxes on Sales, trade, etc

........................................
TRIPLICATE (for the Treasury)
Remitted in ................................. (Branch) {   Treasury/Sub -Treasury

State Bank of India

__________________
 
(1) Name and address of the Employer

(2) Registration No............................

(3) TIN, if any available

           


(4)Period to which payment relates
from____________ to________________

(5)Amount remitted in figure:

Amount in words
(Rupees..............................................................................................................only)
Payment on account of
Amount(in figures)Rs.
105-Value Added Tax

01-Tax Collection

02-Composition of Tax

03-Licence & Registration
Fees

04-Interest

800-Others receipts

81-Other items
 
Total
 


Place:

Date:

Signature of the employer or authorised representatives
___________________________________________________________________________________

(For use in the Treasury/Bank)


1. Received payment of Rs................................................................................................................(in figures)

Rupees.............................................................................................................................................(in words)

2. Date of entry........................

3. Chalan/Scroll No. ...................


_____________________     ___________________________________

 (Signature of Accountant)      (Signature of Treasury/Bank Officer/Manager)






(Stamp of Treasury/Bank)
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Commissioner of Commercial Taxes, Vikrikar Bhavan, MG Road, Panjim, Goa, India. Ph.:0832-2229225
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