THE UTTARAKHAND (THE UTTARANCHAL VALUE ADDED TAX RULES, 2005) FORMS
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Body

"ACKNOWLEDGMENT"

of form-III (A) (Amended)

DEPARTMENT OF COMMERCIAL, TAX UTTARAKHAND

PERIODICAL RETURN

ORIGINAL

REVISED

(tick) whichever is applicable)

01- Serial No. of Acknowledgment
02- Date of Acknowledgment
03- TDAN of the Deductor	=(01)
04- Office code of Sector/Range	=(02)
05- Period of Return	=(03)
06- Assessment Year	=(04)
07- Name and address of the Deductor	=(05)

08-Total Amount on which T.D.S. Is deductable	=(06)
09- Total T.D.S.	=(07)
10- Total Tax Deposited	=(08)
11- LATE- FEE DEPOSITED	=(10)

Signature
(Authorised Signatory)	SEAL, Signature &
Status	Name of Receiving Official

Note: 1. Information of Sl. No 01 and 02 shall be generated electronically if return filed online. Otherwise.

2. To be submitted in two copies duly filed. One copy to be returned with a Sl. No seal, stamp and sign of receiving official.

FORM III (A) (Amended)

[See U.K. VAT rule 21]

PERIODICAL RETURN OF TAX DEDUCTION AT SOURCE BY DEDUCTOR UNDER SECTION 35 OF THE UTTARAKHAND VALUE ADDED TAX ACT, 2005.

PERIODICAL RETURN

ORIGINAL

REVISED

(tick) whichever is applicable)

01- TDAN of the Deductor
02- Office code of Sector/Range
03- Period of Return
04- Assessment Year
05- Name and address of the Deductor

PAYMENT DETAILS

S. No.	Contract No. and Date	Name and Address of the person to whom payment made	TIN of the person to whom payment made	Amount on which T.D.S. is deductable	T.D.S.

06- Total Amount on which T.D.S. is deductable
07- Total T.D.S.

DETAILS AMOUNT DEPOSITED

Challan/ e-Challan Date	Challan Id. Number (CIN)	Bank's Name Address	MICR code of Bank	Tax Deposited (Rs.)

08- TOTAL Tax DEPOSITED

09- TOTAL AMOUNT DEPOSITED (in words)

10- LATE- FEE DEPOSITED

Declaration

I..........................................................................S/o...................................................am authorized to sign this return and I do hereby declare and verify that the information and particulars given in this return are true and completed and nothing has been willfully omitted or wrongly stated.

	Sign of Auth. Signatory ...............
	Name of Auth. Signatory ...............
	Father's name ...............
Date...............	Status ...............