GOVERNMENT OF JHARKHAND

COMMERCIAL TAXES DEPARTMENT

FORM JVAT 404

Form of Declaration under the Jharkhand Value Added Tax Rules 2006 (for goods in Part A, B, C & D of Schedule-II of the Act)

[See Rule 35(2), 35(3), 35(4)]

COUNTERFOIL

(To be retained by the Selling VAT Dealer)

Book No ............ Serial No. ............

I/We............................................. (name and style of Business), VAT Registration TIN ......... do hereby declare that I/We have sold taxable goods listed in Part-A, B, C and D of Schedule-II for Rs........................... (value) to M/s .................. TIN............, through our "Tax Invoices", for the period from......... to .........

2. I/We further declare that, the goods were subjected to Output Tax, at the point of sale by us in the State of Jharkhand and we declare to have deposited the Output Tax charged, into the Government Treasury.

TIN............... being Importer / manufacturer / seller / reseller / selling agent M/s........................ (full address).

+ Registration no...............................

++ Signature and status of the person signing the declaration

Place .....................

Date .....................

GOVERNMENT OF JHARKHAND

COMMERCIAL TAXES DEPARTMENT

FORM JVAT 404

Form of Declaration under the Jharkhand Value Added Tax Rules 2006 (for goods in Part A, B, C & D of Schedule-II of the Act)

[See Rule 35(2), 35(3), 35(4)]

ORIGINAL

(To be appended to the return by the Purchasing Dealer)

Book No ............ Serial No. ............

I/We............................................. (name and style of Business), VAT Registration TIN ......... do hereby declare that I/We have sold taxable goods listed in Part-A, B, C and D of Schedule-II for Rs........................... (value) to M/s .................. TIN............, through our "Tax Invoices", for the period from......... to .........

2. I/We further declare that, the goods were subjected to Output Tax, at the point of sale by us in the State of Jharkhand and we declare to have deposited the Output Tax charged, into the Government Treasury.

TIN............... being Importer / manufacturer / seller / reseller / selling agent M/s........................ (full address).

+ Registration no...............................

++ Signature and status of the person signing the declaration

Place .....................

Date .....................

GOVERNMENT OF JHARKHAND

COMMERCIAL TAXES DEPARTMENT

FORM JVAT 404

Form of Declaration under the Jharkhand Value Added Tax Rules 2006 (for goods in Part A, B, C & D of Schedule-II of the Act)

[See Rule 35(2), 35(3), 35(4)]

DUPLICATE

(To be retained by the Purchasing VAT Dealer)

Book No ............ Serial No. ............

I/We............................................. (name and style of Business), VAT Registration TIN ......... do hereby declare that I/We have sold taxable goods listed in Part-A, B, C and D of Schedule-II for Rs........................... (value) to M/s .................. TIN............, through our "Tax Invoices", for the period from......... to .........

2. I/We further declare that, the goods were subjected to Output Tax, at the point of sale by us in the State of Jharkhand and we declare to have deposited the Output Tax charged, into the Government Treasury.

TIN............... being Importer / manufacturer / seller / reseller / selling agent M/s........................ (full address).

+ Registration no...............................

++ Signature and status of the person signing the declaration

Place .....................

Date .....................