Kotwani's Value Added Tax FORM VAT 44 [See Rule 44 (j)] STATEMENT OF COLLECTION & DEPOSITS (To be submitted by Contractor under Section 77) Name of the Contractor _____________________________________________________________ Address _____________________________________________________________ Period of Collection FROM ......................... TO ....................... 1"Annual Tax Revenue (ATR) for one week": S. No. Receipt No. Date 2"Commodity Name and Registration Number (TIN) of dealers, if any" Tax Collected Details of deposit of collected of (Enclose Challan) Amount Date 1 2 3 4 5 6 7 1 2 3 ... Total Place: Date: Name: Status Signature Verification I, _______________________ hereby declare that the facts stated above are true to be best of my knowledge and belief and nothing has been concealed. Signature Place: Name: Date: Status 1. Substituted by clause 4(i) of the Rajasthan Value Added Tax (Fifith Amendment) Rules, 2008 for the expression 'Estimated Annual Tax Revenue (EATR) for one week'. 2. Substituted by clause 4(ii) of the Rajasthan Value Added Tax (Fifith Amendment) Rules, 2008 for the expression 'Commodity Name'. 322