FORM VAT-27

[See rule 46 ]

MONTHLY STATEMENT OF DEDUCTION OF VAT AT SOURCE

FROM THE PAYMENT MADE TO CONTRACTORS / SUB CONTRACTORS
FOR THE MONTH OF ____________ 200

Place: District:

Name, designation and address of the

person responsible for making payment:

Tax Deduction No._________ VRN/TRN, if any __________

Sr. Name & Registration Nature Gross Amount paid Voucher Date on Rate at Amount T.R. No. and Remarks
No. Address Certificate of the value of in pursuance Number & which tax which tax of tax Date on
of the Number of contract the of the Date of was was deducted which the tax
contract the contract contract payment to deducted at deducted* at source deducted at
or / sub contractor / during the the source source was
contract Sub month contractors deposited to
or to contractor / sub the account
whom contractors of the
payment Designated
has Officer
been
made

1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12.

 I certify that the above statement is complete and correct.

SIGNATURE
Place: AND SEAL OF PERSON
Date : RESPONSIBLE FOR DEDUCTION
/ / 2 0 AND PAYING THE TAX

* In case of deduction of tax at source at a rate lower than the prescribed rate or NIL rate, please furnish certificate issued by the designated
officer to the contractor/ such contractor.