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

"ACKNOWLEDGEMENT"

(of annual return in form- IV- A) (Amended) TDS

DEPARTMENT OF COMMERCIAL TAX UTTARAKHAND

01- Serial No. of Acknowledgement

02- Date of Acknowledgement

03- Office code of Sector/Range

04- Period of Return

From ........... to ..........

05- TDAN/ TIN of the The Person /Dealer

06- Name and address of the Person /Dealer

07- Assessment Year

08- TOTAL AMOUNT ON WHICH TDS IS DEDUCTABLE

(08)

09- TOTAL AMOUNT DEPOSITED (with annual returns)

(12)

10- LATE- FEE DEPOSITED (with annual returns)

(10)

11- Total no. of papers (including returns, annexure, challans excluding "Acknowledgement") submitted

(16)

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

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Form- IV- A) (Amended)

ANNUAL RETURN OF UNDER SECTION 35 OF THE UTTARAKHAND VAT ACT, 2005

01- Serial No. of Acknowledgement

02- Date of Acknowledgement

03- Office code of Sector/Range

04- Period of Return

From

05- TDAN/ TIN of the The Person /Dealer

06- Name and address of the Person /Dealer

07- Assessment Year

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 TDS is deductable	Net Amount of payment	TDS
I
II
08			Total (i+ii....)

Payment of differential amount of TDS interest, late fees (if any)

	A/c Head	Challan Id. Number (CIN) and date	Bank's Name, Address	Bank's MICR Code	Amount Deposited (Rs. )
i	0040001020100 (VAT)
09	Amount TDS Deposited		TOTAL (i+ii+...)
i	0040008000100 (L. Fee)
10-	Late Fee Deposited		TOTAL (i+ii+...)
i	004008000100 (Int.)

11-

INTEREST

TOTAL (i+ii+...)

12-

TOTAL AMOUNT DEPOSITED

(09+10+11)

(In Words)

Details of utilization Form-8 & TDS Certificate received from the office-

Description of Forms	Op- balance	Recd. During the Assessment year	Consumed during the Assessment year	Returned during the Assessment year	Lost during the Assessment year	CL. balance	List of consumed forms in the submitted in the following prescribed Annexure
13-Form-8							Annexure 001

Note: Proof of Returned or lost form to be submitted as annexure

14	Details of Returned or lost forms too be submitted as annexure	Annexure 002
15	Proof of differential amount interest late fees (if any) (Annexure no. to Self allotted in increasing no.)	Annexure - Annexure -
16	Total no. of paper (including return, annexure, challans excluding "Acknowledgement" submitted.

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 complete and nothing has been willfully omitted wrongly stated.

	Sign of Auth. Signatory ................
	Name of Auth. Signatory ................
	Father's Name ................
Date ................	Status of Auth. Signatory in Business ................

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ANNEXURE -001

of Form IV (A) (Amended)

1- TDAN/ TIN of the The Person /Dealer

2- Name and Address of the Person/ Dealer-

3- Period

................

4- LIST of Form- 8 Issued to the Persons/ Dealer from whom TDS Deducted-

Sl. No.	Series and Sl. No. of Form- 8	Name and Address of the Person/Dealer to whom Form issued	TIN of the Person/Dealer to whom Form issued	Name of quarter (I, II, III or IV) to whom Form is related	Assessment year to which form is related	Amount of TDS for which form- 8 issued
1.
2.
	Total (1+2+...)

Signature of Authorized Signatory

Status-

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ANNEXURE -002

of Form IV (A) (Amended)

1- TDAN/ TIN of the The Person /Dealer

2- Name and Address of the Person/ Dealer-

3- Period

................

4- Details of Due Periodical, TDS, Interest and Late fees-

Sl. No.	Return Period	Due Date submission of Return	Actual Date of submission of Return	Delay in "Weeks"	Late fees Due	Amount of Due Tax or TDS for the Period	Due Date of Deposit	Actual Date of Deposit	Delay in "Months"	Interest Due
1	April
2	May
3	June
4	Quarter (I)
5	July
6	August
7	September
8	Quarter (II)
9	October
10	November
11	December
12	Quarter (III)
13	January
14	February
15	March
16	Quarter (IV)
17	Annual Return
18		Total

Signature of Authorized Signatory

Status-

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