THE UTTARAKHAND (THE UTTARANCHAL VALUE ADDED TAX RULES, 2005) FORMS
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FORM XVI

(See sub-rule (3)of rule 26)

Form of Declaration for Import

Original

Serial No.----------	Date of issue-------

	Name and full address of the ----------------------------
	of the dealer to whom issued-----------------------------
	Registration Certificate No.------------------------------
	Valid with effect from-------------------------------------

Notice

You are required showing cause why the goods being imported on this declaration form should not be acquired at the value 10% above the approximate sale value mentioned on this declaration form at the time of presenting this from as prescribed under Section 47.

If no reply is submitted along with this declaration, the officer empowered to check this declaration form shall have power to acquire the goods and pay owner of the goods an amount equal to 110% of the disclosed estimated sale value or presumed value as defined in explanation in Section 44.

	Signature
	(Seal of the issuing authority)
	Sector -------Circle----------
	(The above entries to be field in by the issuing authority)

I, on behalf of the aforesaid dealer, do hereby declare that the goods noted below are being imported/received/ brought * by the aforesaid dealer/ me*.

Sl.No.	Name and address of dealer from whom goods are purchased/ received	Bill/ Cash Memo/ Challan * No. and date	Description of goods	Quantity / Weight	Value of Goods	Number of Form C/D/F*, if issued	Signature of selling dealer/ sender/ consigner
1	2	3	4	5	6	7	8




Total

Rupees ----------------------------------------------------------------------------- (in words)

I, do hereby declare that the above information is correct and complete to the best of my knowledge and belief.

	Signature
Seal	Name:------------------
	Status:**----------------------
	(Purchasing dealer/consignee)

The above goods are being transported by

(1) Registration no. of the goods carrier.

(2) Name and address of the owner of the goods carrier.

(3) Name and address of Transport Company

	Signature .........................
	of vehicle driver
	Full name.-------------------
	Parentage -------------------
	Driving License No.----------

*Strike out whichever is inapplicable

**Relationship of the person signing the form to the Dealer (e.g.Prop./Partner/Director/ Manger etc.) be indicated.

FORM XVI

(See sub-rule (3)of rule 26)

Form of Declaration for Import

Duplicate

Serial No.----------	Date of issue-------

	Name and full address of the ----------------------------
	of the dealer to whom issued-----------------------------
	Registration Certificate No.------------------------------
	Valid with effect from-------------------------------------

Notice

	Signature
	(Seal of the issuing authority)
	Sector -------Circle----------
	(The above entries to be field in by the issuing authority)

I, on behalf of the aforesaid dealer, do hereby declare that the goods noted below are being imported/received/ brought * by the aforesaid dealer/ me*.

Sl.No.	Name and address of dealer from whom goods are purchased/ received	Bill/ Cash Memo/ Challan * No. and date	Description of goods	Quantity / Weight	Value of Goods	Number of Form C/D/F*, if issued	Signature of selling dealer/ sender/ consigner
1	2	3	4	5	6	7	8




Total

Rupees ----------------------------------------------------------------------------- (in words)

I, do hereby declare that the above information is correct and complete to the best of my knowledge and belief.

	Signature
Seal	Name:------------------
	Status:**----------------------
	(Purchasing dealer/consignee)

The above goods are being transported by

(1) Registration no. of the goods carrier.

(2) Name and address of the owner of the goods carrier.

(3) Name and address of Transport Company

	Signature .........................
	of vehicle driver
	Full name.-------------------
	Parentage -------------------
	Driving License No.----------


	Original copy received/retained

	Signatures ------------------
	*Officer In-charge Check Post
	Check Post-----------------------
	*Assessing Authority
	Sector----- Circle-----------------
	Date----------------

* Strike out whichever is inapplicable

** Relationship of the person signing the form to the Dealer (e.g.Prop./Partner/ Director / Manger etc.) Be indicated.

FORM XVI

(See sub-rule (3)of rule 26)

Form of Declaration for Import

Counter foil

Serial No.----------	Date of issue-------

	Name and full address of the ----------------------------
	of the dealer to whom issued-----------------------------
	Registration Certificate No.------------------------------
	Valid with effect from-------------------------------------

Notice

	Signature
	(Seal of the issuing authority)
	Sector -------Circle----------
	(The above entries to be field in by the issuing authority)

I, on behalf of the aforesaid dealer, do hereby declare that the goods noted below are being imported/received/ brought * by the aforesaid dealer/ me*.

Sl.No.	Name and address of dealer from whom goods are purchased/ received	Bill/ Cash Memo/ Challan * No. and date	Description of goods	Quantity / Weight	Value of Goods	Number of Form C/D/F*, if issued	Signature of selling dealer/ sender/ consigner
1	2	3	4	5	6	7	8




Total

Rupees ----------------------------------------------------------------------------- (in words)

I, do hereby declare that the above information is correct and complete to the best of my knowledge and belief.

	Signature
Seal	Name:------------------
	Status:**----------------------
	(Purchasing dealer/consignee)

The above goods are being transported by

(1) Registration no. of the goods carrier

(2) Name and address of the owner of the goods carrier.

(3) Name and address of Transport Company

	Signature .........................
	of vehicle driver
	Full name.-------------------
	Parentage -------------------
	Driving License No.----------

*Strike out whichever is inapplicable

**Relationship of the person signing the form to the Firm (e.g.Prop./Partner/Director/Manger etc.) be indicated.