THE RAJASTHAN VALUE ADDED TAX RULES, 2006 - FORMS
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Body

Form VAT-36A

Certificate to be issued by the principal as a proof of deposit of tax to his agent

[See Rule 22 and 37]

Serial No._______________________

Counterfoil / Original / Duplicate

1.	Name of the Dealer	__________________________________________________
	2	Address
		Building No./ Name / Area
		Town/City
		District/State
		Pin Code	Email Id
		Telephone Number (s)	Fax Number (s)
	3	(a) Name of Agent
		(b) Registration No. (TIN)
		(c) Address
		(d)Building No./ Name / Area
		(e)Town/City
		(f)District/State
		(g) Pin Code	Email Id
		(h) Telephone Number (s)	Fax Number (s)

4. Description of the goods sold by commission Agent :

S. No.	S. No. of VAT-36	Date	Sale Proceed (in Rs.)	Accrual of Tax liability (in Rs.)	Discharge of Tax Liability (in Rs.)		Date & ledger folio No.
					By claiming ITC, if applicable (in Rs.)	By depositing tax amount (in Rs.)

		Signature
	Name :
	Status :

Verification

I/We verify that the sale proceeds shown in column no. 4 above have been recorded by me/us in our regular books of accounts and the tax liability accrued in the hands of commission agent has been discharged by me/us.

		Signature
	Name :
	Status :