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

Statement of Form D-VIII, DIX and D-X under the Bihar Value Added Sales Tax Act, 2005

(See Rule 41)

(To be maintained separtely in respect of each of the declarations in form D-VIII, D-IX and D-X)

Part A

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 :

	During the quarter			Upto the quarter
	Serial Number		Number of forms	Serial Number		Number of forms
	From	To	Number of forms	From	To	Number of forms
Number of forms in hand on first day of the quarter
Number of forms received/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:

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

Funish, as an Annexure, dealer-wise utilization statement indicating therein details of sales effected during the period.