The Chhattisgarh Value Added Tax Rules, 2006. - FORMS
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Body

Form 76

(See Rule 46A)

I, ........................................... a dealer holding registration certificate No. ........................... under the Chhattisgarh Value Added Tax Act, 2005 and authorized under the Special Economic Zones Act, 2005, hereby declare that I have purchased goods, particulars of which are given below, from shri .................... a dealer holding registration Certificate No. (TIN) ..................................... under the Chhattisgarh Value Added Tax Act, 2005.

2. I further declare that:-

(a) Goods purchased by me are use as per provision of section 38(1)(iv) of the Chhattisgarh Value Added Tax Act, 2005 and the Special Economic Zones Act, 2005.

(b) If the goods are used for the purpose other than the purpose specified under Section 38(1)(iv) of Chhattisgarh Value Added Tax Act, 2005, I shall pay the tax payable on sale of such goods within 30 days.

Particulars of goods purchased

Particulars of Purchase order / bill/ invoice/ challan / cash memo	Date	Details of purchased goods	Quantity	Value
(1)	(2)	(3)	(4)	(5)

Total Value (In figure) Rs............. (In Words) Rs........................................... only

Place ...................	Signature of issuing authority and seal
Date ...................