FORM 107
(See sub- rule (2) and (3) of rule 14)
Revised Declaration regarding bank accounts.
(under section 66 of the Gujarat Value Added Tax Act, 2003) _______________________________________________________________________________________ Registration No.________________ Name of the registered dealer _______________________________________________ In supersession of pervious declaration regarding details of the bank accounts of the above-mentioned dealer, I furnish revised declaration of the bank account, as follows, Sr.No. Bank Name Branch Address and its Code Bank Account Number Type of Account Seal and Signature of the Banker I ________________________________ (Name of the authorized person signing the declaration on behalf of the registered dealer) hereby declare that the above-mentioned particulars are true and complete. Date: _______________ Signature of the authorized person.
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Registration No.________________
Name of the registered dealer _______________________________________________
In supersession of pervious declaration regarding details of the bank accounts of the above-mentioned dealer, I furnish revised declaration of the bank account, as follows,
I ________________________________ (Name of the authorized person signing the declaration on behalf of the registered dealer) hereby declare that the above-mentioned particulars are true and complete.