MADHYA PRADESH VALUE ADDED TAX RULES, 2006 - FORMS
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Body

FORM 3-D

(See rule 7-A(7)]

Declaration

Under section 10-A of the Madhya Pradesh Vat Act, 2002

I ....................... (Name and address of the purchaser) holding TIN ......................

and recognition certificate No ....................... under the Madhya Pradesh Vat Act, 2002 hereby declare that I have purchased goods the particulars of which are given below, from Shri ....................... a dealer holding TIN ....................... under the said Act.

2. I further declare that -

(a) the goods purchased are for consumption in the manufacturing process specified by the State Government.

(b) my said TIN/ certificate of recognition was in force on the date of purchase of the aforesaid goods.

Particulars of goods purchased

Particulars of *purchase order/ bill/ invoice / cash memo/challan	Description of goods purchased	Quantity	Value
(1)	(2)	(3)	(4)


		Total

Total value (in figures) Rs ................ (in words) Rs............................... only .

Place ...................	...................
Date ...................	Signature and seal of the dealer
	Status