FORM VAT- 15
[See rule 21(1)]
Declaration of Purchases within the State for Export
1. COUNTER FOIL (To be retained by the exporter)
2. ORIGINAL (To be produced to the assessing authority)
3. DUPLICATE (To be retained by the selling dealer)
Name and complete address of the exporter ................................................................................................................
.............................................................................................................................................................................................
To,
........................................................
(Name and complete address of the seller) ................................................................................................................
Certificate- I
It is Certified that the goods, the particulars whereof have been specified in items (1) and (2) of the Schedule below supplied by you in pursuance of our purchase Order No............... dated ............ as per your VAT invoice no. .................. dated...... for Rs. (in words) ....................................................................................... Rs. (in figures) .............................. have been sold by me / us, in the course of export out of the territory of India, as per details given in items (3) to (6) of the said Schedule, and that the said goods were purchased from you by me / us after, and for the purpose of complying with, the agreement or Order No..................... dated............ or in relation to such Export.
Certificate II
It is further certified that non-liability to tax under the Rajasthan Value Added Tax Act, 2003 or under the Central Sales Tax Act, 1956 in respect of goods referred to in Certificate-I has not been claimed by any other person and that no other certificate for such non-liability has been issued to any other person in India in respect of these goods.
Certificate III
It is further also certified that in case the goods covered by this certificate are reimported into India by me / us after their export, I / We undertake to inform the Assessing authority or any other officer authorised by the Commissioner or the person to whom this certificate has been supplied, about the fact of such reimport within a period of one month from the date of reimport of the said goods into India.
THE SCHEDULE
A- Particulars of Goods
1. Description of goods ..........................................................................
2. Quantity of goods ..............................................................................
B-Details regarding Export
VERIFICATION
The above declaration is true to the best of my knowledge and belief and nothing has been concealed.