Commercial Tax Department FORM -T CERTIFICATE OF DEDUCTION OF SALES TAX AT SOURCE [See rules 25(6) and 30(4)] Certificate No. Name with complete address of the Dealer : TIN and Name of the assessment Circle : Amount of Tax deducted : Rs. ....... PAN under the Income Tax Act, 1961 I/We ....... do hereby certify that a sum of Rs. ...... (Rupees ............... only) was deducted towards Value Added Tax calculated at the rate of ..... per cent on Rs. ..... (Rupees ................ Only) payable in respect of Tvl. ................. in pursuance to the order/agreement of works contract entrusted/entered by us, as required under section 15 of the Puducherry Value Added Tax Ordinance, 2007. The above amount was deducted at source against the Bill No. ...... dated ....... for Rs. ........... claimed by the above Dealer and has been paid to the Government Account as in the mode specified under rule 30(4) of the Puducherry Value Added Tax Rules, 2007 vide Demand Draft/ Crossed Cheque No....... dated ...... drawn on ............. Receipt No. ....... dated ........ issued by ........ Assessment Circle. Place : Signature of the Officer/Person Date : (responsible for the deduction of the amount) Status : Seal: Original : To be issued to the dealer Duplicate: To be issued to the assessing authority. Triplicate: To be retained by the person making deduction.