Form C-II Certificate of Tax Deducted at Source under Section 41 of the Bihar Value Added Tax Act, 2005 [See rule 29(4)(i)] Printed Serial Number : ........................................................... 1. Name and Address of the ........................................................................................................................................................................................ person making deduction ........................................................................................................................................................................................ ........................................................................................................................................................................................ 2. Name and Address of the ........................................................................................................................................................................................ Dealer (Contractor/Supplier) from whose bill deduction ........................................................................................................................................................................................ has been made ........................................................................................................................................................................................ 3. Dealer's TIN (if any) ........................................................................................................................................................................................ 4. In case of Registered dealer, ........................................................................................................................................................................................ name of the Circle in which ........................................................................................................................................................................................ the dealer is registered 5. Total value of the Contract/Supply in respect of ............................................................................................................................ which the deduction has been made 6. Total amount of Bill in respect of which the ............................................................................................................................ payment has been made 7. Amount of Tax deducted Rs. ........................................................................ In Words: Rupees ................................................................................................................................................................................................................ only. 8. Cheque/Draft details in respect of amount deducted: Cheque/DD Number ........................................................... Dated ............................................. Amount ................................................................. 9. Number and Date of Letter vide which the ................................................................................................................................. Cheque/Draft mentioned above at serial 8 has ................................................................................................................................ been dispatched to concerned Circle CERTIFICATE Certified that amount of Rs. ......................................................................... (in words Rupees .................................................................. ............................................................................................................................................................) has been deducted from the Bill/Invoice raised by the Works Contractor/Supplier in respect of Part/Full execution of the contract. Place ................................................... Signature of Issuing Authority ..................................................................... Date ................................................... Designation ............................................................................................................................ Seal of the Office
