The Assam Value Added Tax Rules, 2005. Forms
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THE ASSAM VALUE ADDED TAX RULES, 2005

FORM-35

[See Rule 28(5)(b)]

FORM OF RETURN TO BE FURNISHED BY A PERSON RESPONSIBLE FOR DEDUCTION OF TAX AT SOURCE

For the year ended on:

1. Person's/Department's identity

Name

Address Contact No.

Sales Tax Deduction No.

2. Particulars of bills against which payment is made, tax deducted and paid :

Sl. No.	Name and complete address of the person/dealer /contractor with TIN	Bill No. and date	Bill amount	Bill amount paid	Amount deducted	Details of tax deposited (challan No., date and amount)
(a)	(b)	(c)	(d)	(e)	(f)	(g)

DECLARATION

I, _________________________________ (name in CAPITALS), do hereby, solemnly affirm that I am authorised to furnish this return and that all its contents are true, correct and complete and nothing has been concealed therein.

Place:
Date:	Name and Signature of the person responsible for deducting tax with designation and seal.

ACKNOWLEDGEMENT

The undersigned acknowledges having received the original of this return on the date mentioned below:

(1) Date of receipt of return:

(2) [Signature with stamp of name & designation of receipt clerk]