THE GOA VALUE ADDED TAX RULES, 2005 FORMS
-

FORM VAT-XXVII

[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 payment 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