Form VAT-39
[See Rule 39(5) & 44]
Receipt for cash deposit of Tax/Amount in lieu of tax
(To be issued by the Contractor)
DUPLICATE to be submitted to the Department
TRIPLICATE to be retained by the contractor
Name of Contractor
............................................................................................................................
Address:
Name of specified Area/ Check Post:
..............................................................
Commodities on which authorised to collect tax.................................................
Notification No.:
Date:
Name of Tax collection Centre ...................................................................................................................
Name of Casual Trader/ Registered dealer/ Purchaser...........................................................................
......................................................................................................................................................................
Description of Goods ...................................................................................................................................
Weight/Quantity/Value of the goods ............................................................................................................
Type of vehicle (Truck/Trolla/Tractor trolly/others) ......................................................................................
Registration No. of Vehicle ..........................................................................................................................
Rate of Tax ....................... /Per Ton/Per Item/ @ Percent (%)
Amount of Tax /Composition Money/ Exemption Fee Rs. (In Figures)...................................................
(In words) ....................................................................................................................................................