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

Form VAT-XVII

[See rule 42]

DEMAND AND COLLECTION REGISTER

District

Name of the dealer:

Address:

TIN:

	AMOUNT COLLECTED/ PAID UNDER SECTION 16
Financial Year	Amount paid on account of	FIRST QUARTER			T.R. No. and Date	SECOND QUARTER			T.R No. And Date
Financial Year	Amount paid on account of	April Rs.	May Rs.	June Rs.		July Rs.	August Rs.	September Rs.
1.	2.	3(a)	(b)	(c)	4.	5(a)	(b)	(c)	6.
	Value Added Tax
	Purchase Tax
	Interest
	Penalty
	Composition money
	Other

AMOUNT ASSESSED UNDER SECTION 21 OR 22

THIRD

QUARTER

T.R. No. and Date May

FOURTH QUARTER

T.R. No.

and Date

Total

(3+5+7+9)

Gross demand

assessed

Bala-nce

Dem-and

recoverable

T.R.

No.

And

date

Initials of Asses-sing Autho-rity

October

Rs.

November

Rs.

December

Rs.

January

Rs.

February

Rs.

March

Rs.

7(a)

(b)

(c)

9(a)

(b)

(c)

10.

11.

12.

13.

14.

15.