FORM XVIII TRIPURA VALUE ADDED TAX ACT, 2004 CHALLAN FOR PAYMENT (Under Rule 31 of TVAT Rules) Tax / Penalty / Composition Money Paid To : _____________________________________ Treasury / Sub-Treasury Code : ____________ DDO Code : _____________ Major Head : 0040 Sub-Major Head : 00 Minor Head : ......102 Name of the Bank : ____________________________________________ Tax Period : __________________________________________________ Demand No. (if any) : ___________________________________________ By Whom Tendered Name, TIN and Address of the Dealer on whose behalf money is paid Payment on Account of Amount Deposited ( Rs.) Tax Penalty Interest Composition Money Miscellaneous Rupees __________________________________________________________ (in words) Date : Signature of the Dealer or Authorised Person FOR TREASURY USE ONLY Scroll No. : Date of Receipt : Received Payment of Rs. ........................ (Rupees .....................................................) in words Signature of Treasurer Signature of Accountant Signature of Treasury / Sub-Treasury Officer
