THE RAJASTHAN VALUE ADDED TAX RULES, 2006 - FORMS
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Form VAT – 46

[(See Rule 51 (2)(b)]

SEIZURE MEMO

Original/ Duplicate

1.	Name of the Dealer/ Person	________________________________________________________________
2.	Registrations No. (TIN)	________________________________________________________________
3.	Address	Building Name/ Number	_____________________________
		Area/ Road	_____________________________
		Town/City	_____________________________
		District (State)	_____________________________
		Pin Code	_____________________________
		Email Id	_____________________________
		Telephone Number(s)	_____________________________
		Fax Number(s)	_____________________________
		________________
		________________
		________________
4.	Date of Survey / Inspection / Search
5.	Details of goods seized (Use separate sheet, if required)

Reason(s) for seizure:

______________________________________________________________________________________________________

6. Details of books of accounts / registers / other documents seized (Use separate sheet, if required)

Exhibit No.	Description	No. of pages	No of pages signed by the inspecting authority	No. of pages signed by the dealer or his business manager

Reason(s) for seizure:

______________________________________________________________________________________________________

Signature of officer

_____________________________

Seal

Name

_____________________________

Designation

_____________________________

Place

_____________________________

Date

_____________________________

Signature of dealer / business manager

_____________________________

Name

_____________________________

Designation

_____________________________

Place

_____________________________

Date

Seized and Signed in presence of :

Witness 1:

Witness 2:

Signature _________________________

Name

Address _________________________

Place ___________________________

Place ____________________________

Date ____________________________

Date _____________________________