The Chhattisgarh Value Added Tax Rules, 2006. - FORMS
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FORM 26

[See Rule 27(2)]

Declaration

I,..........a dealer holding registration certificate No........under the Chhattisgarh Value Added Tax Act. 2005, in.........circle hereby declare that the goods particulars of which have been given in Appendix I below and purchased by me from Shri.........a dealer holding registration certificate under the said Act have been sold by me in the course of export out of territory of India as per details given in Appendix II below and the said goods were purchased by me after and for the purpose of complying with the agreement or order No......dated.......for or in relation to such export.

I further declare that exemption from tax under the said Act in respect of these goods has not been claimed and that no other declaration has been issued to any other person in the State of Chhattisgarh in respect of these goods.

Place.....................	Signature ..........................
Date......................	Name of the person signing the declaration ..................
	Status of the person signing the declaration in relation to
	the exporter.......................

APPENDIX-I


Description of goods purchased	Quantity	Value
		Rs.	P.
(1)	(2)	(3)


	Total

Total value (in figures) Rs....................(in words)

Rs....................................only

APPENDIX-II

Details regarding export :

(1) Name of airport*/ seaport/ land custom station through which goods have been exported	............................
(2) Name of the airlines*/ship/railway/goods vehicle or other means of transport through which export took place.	............................
(3) Number and date of air consignment note/bill of lading/ railway receipt/goods vehicle receipt/ postal receipt/any other document in proof of export of goods across the custom frontier of India (certified copy of such air consignment note/bill of lading/ railway receipt/goods vehicle receipt/postal receipt/other documents to be enclosed).	............................
(4) Description/quantity/weight and value of the goods exported under documents referred to in item (3) above.	............................

Place.....................	Signature.........................
Date......................	Name of the person signing the declaration ........................
	Status of the person signing the declaration in relation to the exporter.................

*Strike out whichever is not applicable.