The particulars in respect of said amount are given in table hereto: Table S.No. Bill No. & Bill Rate of Amount of Date of Challan Name of Bank & Date Amount TDS Tax deposit No. Branch deducted at source Certified true copy of receipted Challans attached Verification I/We ________________hereby solemnly affirm and declare that the information given herein above is true and correct to the best of my/our knowledge and belief and nothing has been concealed there from. Signature of Authority Signatory Name : Designation : Place : Date : Note: One TAN shall be applicable for all units/office of person responsible for deduction of tax Inserted vide notification no. DMN/VAT-2010/09-10- dated /01/2010 ANNEXURE-I
The particulars in respect of said amount are given in table hereto: Table S.No. Bill No. & Date Bill Amount Rate of TDS Amount of Tax deducted at source Date of deposit Challan No. Name of Bank & Branch Certified true copy of receipted Challans attached Verification I/We ________________hereby solemnly affirm and declare that the information given herein above is true and correct to the best of my/our knowledge and belief and nothing has been concealed there from. Signature of Authority Signatory Name : Designation : Place : Date : Note: One TAN shall be applicable for all units/office of person responsible for deduction of tax Inserted vide notification no. DMN/VAT-2010/09-10- dated /01/2010 ANNEXURE-I