Bihar Value Added Tax Rules, 2005 FORMS
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FORM VR-II

Register of Forms D-III/D-XI issued under the Bihar Value Added Tax Rules, 2005

(to be furnished separately with regard to Form D-III and Form D-XI)

[See Rules 10 and 19(3A)]

1. Name and style of the business : .........................................................................................................

2. Taxpayer identification number of the selling dealer : ..........................................................................

3. Period to which the statement relates : ................................................................................................

4. Name of the Circle to which the statement relates : ...........................................................................

Part A	During the quarter			Upto the quarter
	Serial Number		No. of Forms	Serial Number		No. of Forms
	From	To	No. of Forms	From	To	No. of Forms
Number of forms in hand on first day of the quarter :
Number of forms printed during the quarter :
*Number of forms issued during the quarter :
Number of forms in hand on last day of the quarter :

Part B

Name of the press from which the forms were printed: ..................................................................................................

Address of the press from which the forms were printed :...............................................................................................

Taxpayer Identification Number, if any, of the press from which the forms were printed:

..........................................................................................................................................................................................

Part C

Total value of forms issued during the quarter :..............................................................................................................

Total tax deposited during the quarter : ........................................................................................................................

Remarks : .................................................................................................. ......................................................................

Verification

I do hereby declare that the above particulars are correct and complete to the best of my knowledge and belief.

Place : .....................................	Signature : .....................................
Date : .....................................	Full name : .....................................
	Status : ..........................................

*Funish, as an Annexure, dealerwise utilization statement indicating therein details of sales effected during the period