FORM 522C
CERTIFICATE OF PAYMENT OF TAX BY AGENT
See Rule 34(2)(c)
I/We ................(full address).............. with.........(TIN) have sold..................(description of goods).......... (Quantity) for Rs .............. (Rupees ................) for the tax period................on behalf of my/our principal M/s......................................
(address) ..................................
bearing TIN...............................
The tax due of Rs................. has been collected and paid by me/us on the above sales.
Particulars of goods sold