FORM JVAT 400 GOVERNMENT OF JHARKHAND COMMERCIAL TAXES DEPARTMENT CERTIFICATE OF TAX RECOVERY AT SOURCE. [See Rule 23(2)(c) & 24(3)] Date Month Year 01. Office of the___________________________ of Commercial Taxes ___________________Circle/SubCircle 03. Name _______________________________________________________________________________________ Address _____________________________________________________________________________________ I / We _______________________________________ certify that a sum of Rs._____________ was collected being the amount payable by M/s.___________________________________________________________ towards Value Added Tax collected at the rate of __% on the total value of the contract and the amount has been paid to the sales tax (Major Head "0040") credit of Government of Jharkhand. 04. Date of the Contract / supply order 05. Nature of Contract / Supply order 06. Full Value of Contract / Supply order 07. Bill No. / Voucher Cash Memo and Date 08. Amount paid in the bill and Date of payment 09. Amount of Value Added Tax Collected @ __% of Col.8 above 10. Remittance Particulars to the Government. Signature of the Officer / Person responsible for Collection of amount / remittance to Commercial Taxes Department with Seal
