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THE HIMACHAL PRADESH VALUE ADDED TAX RULES, 2005. FORMS
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Body

FORM VAT-XXVI-A

[See rule 61 (1)]

DECLARATION

   
  Original
  Duplicate
  Triplicate\

FT NT GC   IM EX RE

1. Form No. .................... Name ..................................
2. CONSIGNOR: Full address ....................

TIN (VAT/CST). ....................

3. Consigned from : Place ....................
4. CONSIGNEE: Name ....................

Full address ....................

TIN (VAT/CST). ....................

5. Destination of Goods .............................................
6. Vehicle No. .................... Name of Transport Co. ....................
7. Value of Goods: Rs .................... G.R. No. ....................

8. Details of Goods (Give details overleaf in case of Multiple Bills)

Sr. No. Bill No. Date Aggregate value of goods

 Category-wise Bifurcation Brief Description of Goods.
(1) (2) (3) 4(i) 4(ii) 5
      Rs......... P......... (a) (b) (a) (b)
        Value of

Taxable goods

 Value of

Tax free goods

 Taxable goods Tax free goods

Signature of Officer-in-charge of the Check Post/Barrier with stamp to be appended after the checking.

Name of the check-post/barrier.

Signature or thumb impression, name and address of the person transporting the goods.

Date _________________________ Date ______________________

Note.--

1. The complete bill of lading is to be in the hand of the person carrying the goods at the check-post or barrier.

2. Please see instructions *overleaf.

Bill No. Date of Bill Value of goods Brief description of goods
       
       
       
       
Total value of goods:    

INSTRUCTIONS

A. Guidelines for filling the CST/ VAT TIN  
1. If un-registered Dealer : District .................... UNR.blank.
2. If applied for registration District .................... AFR-blank.
3. If registered District No. ....................
B. (Tick) wherever applicable;  
FT= Goods for Trade IM= Goods Imported
NT=Goods Not for Trade EX= Goods Exported
GC=Government Goods RE= Goods RE-Entered.