The Chhattisgarh Value Added Tax Rules, 2006. - FORMS
-

Body

FORM 4

Declaration

[See Rule 7 (3)]

DECLARATION

I,_________________(Name), of ______________(place) a dealer holding registration certificate No. _____________ under the Chhattisgarh Value Added Tax Act, 2005 hereby declare that I have dispatched during the quarter commencing from__________ and ending on___________ to _____________ (Name) of ________ (Place) _____________(name)a dealer holding registration certificate No.___________ under the said Act for sale on commission goods particulars of which have been given below,-

2. I further declare that tax under section 8 of the Act on the sale price of such goods at the hands of the commission agent has been paid by me

Particular of goods dispatched for sale on commission

S.No	Date on which goods were dispatched to the adatiya	Description of goods	Quantity	Sale value at the hands of the commission agent.	Tax under section 8 paid with chalan No.and date.
(1)	(2)	(3)	(4)	(5)	(6)

	Total

Place___________
Date___________	Signature of the registered dealer .......................

*Strike out whichever is not applicable.