THE CENTRAL SALES TAX
(REGISTRATION & TURNOVER) RULES, 1957
FORM E-I
Name of the State
Serial No.
Certificate under *sub-section (2) of section 6
[See Rule 12(4)]
To be issued (in duplicate) (i) by the selling dealer who first moved the goods in the case of a sale falling under section 3(a) or (ii) by the dealer who makes the first inter-State sale during the movement of the goods from one State to another in the case of sale falling under section 3(b).
A. Name of the selling dealer................
B. (i) Name of the purchasing dealer...........
(ii) Address (with name of the State)...........
............................................
C. (i) Name of the place and state in which movements commenced....................
(ii) Name of the place and State to which goods have been consigned by the signatory.........
D. (i) Invoice No. and date...............
(ii) Description, quantity and value of goods ....
...........................................
(iii) Number and date of declaration Form 'C' received from purchasing dealer with name of State of issue.............................
(iv) Number and date of the Railway Receipt/Trip sheet of lorry/or any other document of other mean of transport.............................
I/We the selling dealer(s) mentioned above do certify that I/We am/are registered under the Act and am/are holding registration certificate No.......dated.........in the State of........ I/We further certify that (i) I/We will pay/have paid tax under the Act or (ii) no tax was payable under the Act in view of the general exemption referred to in sub-section (2-A) or in pursuance of any exemption or concession granted under sub-section (5) of section 8, on the sale of goods covered by documents whose particulars are given above, to the appropriate sales tax authority of the State of................
The above statements are true to the best of my knowledge and belief.
(Signature).............
(Name of the person signing the certificate)
(Place)
(Status of the person signing the certificate in relation to the dealer)
Dated..................
Address (with name of the State)...............
*Explanation : In this form, item D(iii) shall not be applicable in cases covered by the second proviso to sub-section (2) of section 6.
(Note : To be retained by the dealer issuing the certificate.)
Dated................
(Note : To be retained by the dealer receiving the certificate.)
(Note : To be furnished to the prescribed authority in accordance with the rule framed under Section 13(3) by the appropriate State Government.)