THE ASSAM VALUE ADDED TAX RULES, 2005

FORM-33

[See Rule 28(5)]

FORM OF APPLICATION FOR ALLOTMENT OF TAX DEDUCTION ACCOUNT NUMBER

To

The Prescribed Authority

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Sir,

Whereas I/We am/are liable to deduct tax in accordance with section 47 of the Assam Value Added Tax Act, 2003;

And whereas no tax deduction account number has been allotted to me/us;

I/We hereby request that a tax deduction account number be allotted to me/us;

I/We give below the necessary particulars:-

1. Name of the office:

2. Designation of the Drawing and Disbursing Officer:

3. Address :

4. Nature of transaction against which payment is made: Works contract/Supply/Lease

VERIFICATION

I/We ____________________________________ in my/our capacity as _______ do hereby declare that what is stated above is true to the best of my/our knowledge and belief.

Place:

Date: