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The Orissa Value Added Tax Rules, 2005 FORMS
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FORM VAT-605

CERTIFICATE FOR DEDUCTION OF TAX AT SOURCE

[Refer rule 59]

01. Office address of the issuing authority

D D   M M   Y Y Y Y
    -     -        

02 TIN                      

03. Name and address of the dealer

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.

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4 Name, address and status of the Authority making the deduction  
5 Name and address of the dealer (works contractor from whose bills/Invoices, deduction has been made)  
6 If the dealer (works contractor) has opted for payment of composition money in lieu of VAT, the order No. and date and the Sales Tax authority, who has issued the order for deduction of tax of source.  
7 Work order/contract number in respect of which, tax is deducted at source. Work order/contract No.______

dt.________ Gross value at work Rs.__________________

8 Gross value of the works contract, in respect of which part or full payment is being made ______________ the amount of payment made
FULL PART

Rs___________________

9 Gross amount of the Bill/Invoice in respect of which payment is being made including the Bill/Invoice number
Bill/Invoice

No.

Date Amount
     

 

10 Amount of Sales Tax deducted Rs.
11 Name of the Treasury in which the amount deducted has been deposited  
12 Treasury challan No./Date No_______dt._____/____/___
13 Demand draft number and date, if payment has been made through crossed demand draft D.D. No.______dt.________of ______________branch of ________________Bank

14 When consolidated payment is made in respect of the tax deducted at source from more than one works - contractors, the statement showing the name, address, TIN/SRIN of such contractors, gross value of the Invoice, the amount of tax deducted at source to be enclosed
Yes No

Rs______________________

(Please strike out, whichever is not applicable)

15. DECLARATION

Certified that an amount of Rs.________________(Rupees ___________________________) has

been deducted from the bill/invoice of the works-contractor mentioned above in respect of

part/full execution of the works contract and has been deposited into the government Treasury or

paid through crossed Demand Draft.

  Signature

(Deducting Authority)

  Seal
Dated the ________________________

 

Note:

01. The deducting authority making the deduction shall send a copy of the certificate alongwith a copy of the Treasury challan /e-challan / the crossed Demand Draft to the concerned Sales Tax Officer / Assistant / Deputy Commissioner of Sales Tax.

02. The deducting authority making deduction shall send a copy of the certificate to the works contractor, from whose bill / invoice, the deduction has been made.