FORM XI TRIPURA VALUE ADDED TAX ACT, 2004 DEDUCTION CERTIFICATE ( Under Rule 7(4) of TVAST Rules ) Form of report relating to deduction of tax on account of works contract and for transfer of right to use goods. 1. Name & address of the person __________________________ making the deduction. 2. Name & address of the person __________________________ from whom the deduction was made. 3. Particulars of deduction : (a) Name of work __________________________ (b) Period to which it relates __________________________ (c) Whether the deduction is made for __________________________ works contract or for transfer of right to use any goods. (d) Gross amount payable to the person from whom the deduction was made Rs. __________________ (e) Details of Departmental recoveries, if any (i) Rs. ___________________ (ii) Rs. ___________________ (iii) Rs. ___________________ (f) Details of amounts not liable to be taxed (i) Rs. ___________________ (ii) Rs. ___________________ (iii) Rs. ___________________ (g) Breakup of taxable amount at different rate(s) of tax Taxable Amount (in Rs.) Rate of Tax (%) Amount of Tax (in Rs.) Total 4. Amount of tax deducted Rs. _________________ 5. Date of deduction _____________________ 6. Amount deposited into the Government Treasury Rs. __________________ 7. Challan No. _________________ Date of deposit ________________ Forwarded to the Superintendent of Taxes ____________________________________ ____________ Signature of the person making the deduction Date