FORM VI (See Sub-Rule (1) of Rule 19 of the Uttaranchal Value Added Tax Rules, 2005) Challan for payment of Value Added Tax / Commercial Tax/Central Sales Tax into Treasury/Sub - Treasury / R.B.I/S.B.I./Authorised Bank (A) To be retained by the Treasury / Bank/ Challan No. ....... Treasury / Sub-Treasury/ ....... Name of Bank and Branch ........ Name and address .......... Circle ............... of the dealer/ person ......... Sector ............... ......... Assessment year ........... Head of Account 040 - Commercial tax A- Receipts under value Sales Tax Act B- Receipts under value Added Tax Act. (1) Tax collection (2) Penalty (3) Registration Fees (4) Other Receipts Details of payment: *Under State Act Act/Under Central Act. mount (1) Tax Collection (2) Penalty (3) Registration Fees (4) Other Receipts Total Total (in words) Crores Lacs Thousand Hundreds Tens Units * Paid in CASH * Paid by Cheque No. ..... Date........ Drawn on ................ Date ........ Signature of Depositor For use in Receiving Treasury / Sub-Treasury / Bank ------------------------------------- Space for Treasury / Bank Seal Received payment (in words) ------------------------------------- ------------------------------------- Notes: (1) *Strike out which ever is not applicable. (2) Use a separate challan for each type of payment. (3) Particulars of money tendered should be given on the reverse.