The Jharkhand Value Added Tax Forms , 2005
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FORM JVAT 505

GOVERNMENT OF JHARKHAND

COMMERCIAL TAXES DEPARTMENT

[See Rule 44(1)(a)]

Certificate of the Sale Proceeds by the Commission Agent to the Principal

Serial Number: ____________________________

Original/Duplicate

____________________________________________________________________________________________________________________

Details of the Principal:

____________________________________________________________________________________________________________________

1.	Name of the Dealer	_____________________________________
2.	Registration No. (TIN)	_____________________________________
3.	Address	Building Name/Number	_________________________
		Area/Road	_________________________
		Locality/Market	_________________________
		Pin Code	_________________________
		E-mail Id	_________________________
		Telephone Number(s)	_________________________
		Fax Number(s)	_________________________

4. Description of the goods sold:

Date	Name of the goods	Received vide VAT 38 (no.) & Date	Quantity / No. of bags or packages	Weight	Rate per unit	Amount Rs.	Expenses Rs.

					1. Freight
					2. Gaushala
					3. Shifting charges
					4. Weighing Charges
					5. Delivery Charges
					6. Labour Charges
					7. Cartage
					8. Other Charges

					Total :
					Commission :
					Grand Total :

TOTAL

Verification

I certify that the information given in this form and its attachments (if any) is true and correct to the best of my knowledge and belief and nothing has been concealed

Signature

Full name of Applicant

Designation

Date

Place