MADHYA PRADESH VALUE ADDED TAX RULES, 2006 - FORMS
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Body

FORM 49

[See rule 70(3)]

DECLARATION

Under section 57 of the Madhya Pradesh Vat Act, 2002.

Book No. _______________ S.No.___________ Date of issue __________

Name and address of the dealer to whom issued	_________________ _________________
TIN under Madhya Pradesh Vat Act, 2002	_________________ _________________

Seal of issuing authority

1	consignor or consignee, as the case may be, of the other State.
	Name...................
	Complete address............
	TIN (if nay)...............
2	Place from which the goods dispatched.
3	Consignor's invoice No. and date *
4	Destination (including complete address)
5	Brief description of goods
6	Total quantity or total weight
7	Total value
8	(a) Name and address of the carrier (transport company or owner of the vehicle etc.) and vehicle number
8	(b) Bilty /LR No. and date

I,__________________ declare that to the best of my knowledge and belief the above statements are true and correct.

Place
Date	Seal and signature of the consignor of the goods

* If more than one invoice., details be given over leaf

(To be completed in the office of the check post)

Date and time of arrival of the vehicle at the check post ________________

Date and time of departure of the vehicle from the check ________________

Reasons for abnormal detention of the vehicle at the check post ________________

Continue...................

Overleaf details of form 49

Serial No.	Consignor's invoice No. and date	Destination (including Complete Address)	Brief description of goods	Total quantity or total weight	Total value
(1)	(2)	(3)	(4)	(5)	(6)
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.

Place
Date
	Seal and signature of the consignor of the goods

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