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THE RAJASTHAN VALUE ADDED TAX RULES, 2006 - FORMS
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Form VAT - 49

[See rule 54(1)]

DECLARATION FOR CARRYING GOODS OUTSIDE THE STATE BY REGISTERED DEALER

[To be filled in ink]

Form No.

Name of the office of issue ________________________

Date of issue
               
D D M M Y Y Y Y
 
 
Seal of Issuing Authority
 
 
 
Valid upto ............................  

To

The In-charge Check-Post __________________________

Certified that the goods, particulars of which are given below are sold / consigned by me to ________________________ (place with state) for sale outside the State of Rajasthan or by way of branch transfers / depot transfers / stock transfers, or in the course of inter-State trade or commerce or by principal to outside agent or agent to outside principal and I /We hold myself /ourselves liable for payment of tax as per law

1. Name of Consignor

 

                                                   
                                                   
 

Registration No. (TIN) 

 

                     
 

 

Address

Bldg. No/ Name/ Area
 
                                               
 
Town/City
                                               
 
District (State)
                                               
 

2. Name of Consignee

 

                                                   
                                                   
 

Registration No. (TIN) 

 

                     
 

 

Address

Bldg. No/ Name/ Area
 
                                               
 
Town/City
                                               
 
District (State)
                                               
 

3. Invoice No. / Bill No. / Dispatch memo No.
                   
 
4. Date of. Invoice / Bill / dispatch memo(DD / MM / YYYY)
    -     -        
 

5.

 Value / estimated value of goods in Rs. (in figures)
                   
 
  ( in words) __________________________________________________________
6. Name of Commodity _____________________________
      _____________________________
7. No, of Packages/ quantity/ weight
          weight         
 

Address

8. Name and Address of the Transport co.
 
                                               

                                               

                                               

9. Registration No. of the vehicle
                   
 

Declaration

I __________ , _________ (Proprietor/Partner/ Director/Karta/Business Manager) here by declare that the facts stated above are true to the best of my knowledge and belief and nothing has been concealed.

Place : Name : Signature
Date : Status with seal :  
 
 
Seal of the Consignor with VAT RC No. (TIN)
 
 
 		  

Verification

I verify that the facts stated above are true to the best of my knowledge and belief and nothing has been concealed.

Place : Name : Signature
Date : Status with seal :  

 
 
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