The Chhattisgarh Value Added Tax Rules, 2006. - FORMS
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FORM 60

[See Rule 70]

Declaration

Under section 58 of the Chhattisgarh Value Added Tax Act, 2005 in respect of goods belonging to a person.

1.	(a) Name and complete address of the consignor
	(b) Registration certificate number under the State Sales Tax law of the appropriate State(if any)
2.	Name and complete address of the consignee
3.	Name and complete address of the person to whom goods will be delivered in case his consignee is described as self in the declaration.
4.	Place from which the goods dispatched.
5.	Destination(including District)
6.	Brief description of goods
7.	Total quantity
8.	Total weight
9.	Total value
10.	Consignor's invoice No. and date
11.	(a) name and address of the carrier(transport company or owner of the vehicle etc.)
	(b) Details of the vehicle with its number
	(c) name and address of the driver of the vehicle
	(d) name and address of the person in charge of the goods.
	(e) Bilty / L.R.No. and date

I, _________________ declare that to the best of my knowledge and belief the above statements are true and correct.

Place
Date	Signature and designation