THE KERALA VALUE ADDED TAX RULES, 2005 - Forms
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Body

FORM No.47A

DECLARATION

[For concessional rate of tax on sale of furnace oil to coastal Cargo Vessels under-sixteenth proviso to sub-section (1) of section 6.]

[See rule 12C]

This is to certify that I / We ........................................ (name and full address of the purchaser directly/through agent with identification number, if any, with TIN) have Purchased the goods described below from M/s. .......................................... (full address of the seller with TIN during the month /financial year ........................ which are exclusively intended to use by the .......................... (name and address of the purchaser ) in the Coastal Cargo Vessel.

I am fully convinced of the fact that the purchaser of these goods is eligible for the concessional rate of tax as prescribed under the sixth proviso to sub-section (1) of section 6. In the event it is found otherwise or it has not been used for the purposes mentioned.

We also hereby undertake to pay over to the Government the tax concession availed by us in the event of failure to utilize the goods for the purpose declared

Particulars of goods Purchased

Sl. No.	Number of Tax Invoice	Date of Invoice	Description of goods	Quantity	value	VAT Paid
(1)	(2)	(3)	(4)	(5)	(6)	(7)

		Signature, Name and status of the signatory.
Date:	/ Seal /