GOVERNMENT OF JHARKHAND

COMMERCIAL TAXES DEPARTMENT

Name of the Printer/Computer Generated: Self (in Bold letters)

FORM JVAT 405

Form of declaration for the payment of Tax on Entry of Goods

[See Rule 36(1) & 36(2)]

COUNTERFOIL

(To be retained by the Selling Importer / Dealer)

Book No........................... Sl. No..................

I/We ........................ (Name and Style of business) VAT Registration TIN No..................... do hereby declare that I/We have sold/transferred ........................ (name of goods) .................. (Quantity) .................. for Rs.................. (Value) to M/s .................. VAT Registration TIN No........................ through my/our cash Memo/Bill No.....................

2. I/We further declare that the goods were subjected to tax on Entry at the point of import by M/s ........................... Full Address .............................. VAT Registration TIN No........................... being an importer dealer at the first point of entry into a local area in the State of Jharkhand.

_______________________________________________________________________________________________

Name of the Printer/Computer Generated: Self (in Bold letters)

FORM JVAT 405

Form of declaration for the payment of Tax on Entry of Goods

[See Rule 36(1) & 36(2)]

ORIGINAL

(To be appended in the Return by the Second or the subsequent Importer / Dealer)

Book No........................... Sl. No..................

I/We ........................ (Name and Style of business) VAT Registration TIN No..................... do hereby declare that I/We have sold/transferred ........................ (name of goods) .................. (Quantity) .................. for Rs.................. (Value) to M/s .................. VAT Registration TIN No........................ through my/our cash Memo/Bill No.....................

2. I/We further declare that the goods were subjected to tax on Entry at the point of import by M/s ........................... Full Address .............................. VAT Registration TIN No........................... being an importer dealer at the first point of entry into a local area in the State of Jharkhand.

_______________________________________________________________________________________________

Name of the Printer/Computer Generated: Self (in Bold letters)

FORM JVAT 405

Form of declaration for the payment of Tax on Entry of Goods

[See Rule 36(1) & 36(2)]

DUPLICATE

(To be retained by the Purchasing Importer/Dealer)

Book No........................... Sl. No..................

I/We ........................ (Name and Style of business) VAT Registration TIN No..................... do hereby declare that I/We have sold/transferred ........................ (name of goods) .................. (Quantity) .................. for Rs.................. (Value) to M/s .................. VAT Registration TIN No........................ through my/our cash Memo/Bill No.....................

2. I/We further declare that the goods were subjected to tax on Entry at the point of import by M/s ........................... Full Address .............................. VAT Registration TIN No........................... being an importer dealer at the first point of entry into a local area in the State of Jharkhand.

_______________________________________________________________________________________________

Name of the Printer/Computer Generated: Self (in Bold letters)

FORM JVAT 405

Form of declaration for the payment of Tax on Entry of Goods

[See Rule 36(1) & 36(2)]

TRIPLICATE

(To be appended in the Return by the subsequent Importer / Dealer)

Book No........................... Sl. No..................

I/We ........................ (Name and Style of business) VAT Registration TIN No..................... do hereby declare that I/We have sold/transferred ........................ (name of goods) .................. (Quantity) .................. for Rs.................. (Value) to M/s .................. VAT Registration TIN No........................ through my/our cash Memo/Bill No.....................

2. I/We further declare that the goods were subjected to tax on Entry at the point of import by M/s ........................... Full Address .............................. VAT Registration TIN No........................... being an importer dealer at the first point of entry into a local area in the State of Jharkhand.

_______________________________________________________________________________________________