THE HIMACHAL PRADESH VALUE ADDED TAX RULES, 2005. FORMS
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Form VAT-XII

[See rule 38(1) and (2)]

Form of furnishing particulars of contracts entered into by a contractee with a works contractor or a sub-contractor and application for tax deduction number

The Assessing Authority,

Circle______ District_______.

I/We ......................................... contractees/ contractors with the following particulars have entered into works contract(s) detailed below with the contractors/ sub-contractors: -

1. Contractee's identity

Name	M/s
Address		Contact No.
Deduction No.

* (to be filled in case contractee is a registered dealer)

2. Details of works contract(s) entered into

Sr. No.	Name and complete address of contractor(s)/ sub-contractor	TIN (if any)	Number, date and name, if any, and nature of works.	Total value of works contract and date of award		Amount, if any, paid to the contractor/ sub-contractor till the date of making this application		Amount deducted from payment in column (7) and (8) and paid (give details)
				Total value of works contract and date of award		Date	Amount
				Total Value	Date of award	Date	Amount
(1)	(2)	(3)	(4)	(5)	(6)	(7)	(8)	(9)



Total

3. I/We do hereby solemnly affirm that I/We am/are authorised to furnish this information and that all its contents are true, correct and complete and nothing has been concealed therefrom;

4. I/We hereby also apply for that tax deduction number under sub-rule (2) of rule 38 for enabling deduction of tax under section 17 of the Act.

Place :
Date :	[Signature of the contractee]

The Assessing Authority,

................................ Circle, ............................. District

(For use in the office of the assessing authority)
(1) Date of data entry in the office record/Computer:
(2) Signature (with Name) of the official making the date entry:
(3) Signature of the assessing authority with Date: (Affix stamp of name and designation)

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 and designation or receipt clerk]

Footnote: It is to be furnished by the contractee to the appropriate Assessing Authority of the contractor.