THE KERALA VALUE ADDED TAX RULES, 2005

FORM No. 54

Closing stock inventory as on 31st March in respect of VAT suffered

goods locally purchased during the year....

[To be filed along Form 21CC for claiming refund]

{See Rule 22(3)}

Name and address of dealer

Tax payers Identification No /Presumptive tax payers Identification Number

Declaration

I/We hereby declare that I/We have caused verification of the particulars furnished above with reference the actual stock held by me/us and purchases made during the year as on 31st March, 200..... and are true and correct in all respect to the best of my/our knowledge and belief.

Signature

Name and status of the signatory

Place

Date

(Seal)