Maharashtra Value Added Tax Rules, 2005 FORMS
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FORM 409

(See Rule 50)

Declaration by a registered Contractor for the purpose of clause (g) of sub section (4) of section 45 of the Maharashtra Value Added Tax Act, 2003

Serial Number

I / we, the undersigned, do hereby certify that I / the said __________________ am / is a registered dealer under the Maharashtra Value Added Tax Act, 2002. The details are as under

Name of the dealer

R.C. No. Under M.V.A. T. Act, 2002

Address of the place of business

Name of the dealer who whom the works contract has been signed

R.C. No. Under M.V.A.T. Act, 2002

Address of place of business of above dealer

I/We, hereby undertake that the tax payable, if any, in relation to the turnover of sales of such works contract or lumpsum by way of composition payable under section 42, as the case may be, shall be paid by me/the said *

_________________________

I / We, further certify that the said registration certificate was in force on the date of execution of the aforesaid contract

Place ___________________	Signature __________________
Date ____________________	Status _________________

* State here the name of Firm, Company Local authority, Corporation, Society, Club, associations of persons, Hindu undivided family, Trust, Government Department, as the case may be.