THE RAJASTHAN VALUE ADDED TAX RULES, 2006 - FORMS
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Body

FORM VAT- 72

[See Rule 21 (1)(i)]

DECLARATION

(To be issued by purchaser)

Name of the Person/ Department/ Dealer/ Institution Purchasing goods:

TIN, if any:

Address:

I/we hereby certify that the goods as mentioned in column number 2 of Part-C of the table given below has been purchased by me/ us for the purpose as mentioned in column number 3 of Part-C of the said table, from the registered dealer whose details are mentioned in Part-A of the said table, and sale to or purchase by me/ us of such goods is/ are exempted from payment of tax under notification number and date as mentioned in Part-B of the said table:

TABLE

Part-A: Details of the selling dealer:

1	Name of the selling dealer
2	TIN
3	Address

Part-B: Details of Notification

1	Notification Number
2	Date

Part-C: Details of Purchases

S.No.	Description of goods				Purpose
1	2				3
	Invoice number	Date	Name of commodity	Amount

	Signature of Person/ Dealer/ Authorized Signatory with seal
	Name:
	Status/ Designation of Authorized signatory

VERIFICATION

I/ we certify that the above information and facts are true and correct to the best of my/ our knowledge and belief and nothing has been concealed.

	Signature of Person/ Dealer/ Authorized Signatory with seal
	Name:
	Status/ Designation of Authorized signatory