THE CENTRAL SALES TAX

(REGISTRATION & TURNOVER) RULES, 1957

FORM 'C'

Form of declaration

[Rule 12(1)]

Name of issuing state.......

Office of issue.........

Date of issue............

Name of the purchasing dealer to whom issued along with his Registration Certificate No..

Date from which registration is valid

Serial No.................

To

*(seller)

Certified that the goods

**Ordered for in our purchase Order No..dated and supplied as per Bill/ Cash Memo/Challan No .dated.. as stated below*

are for

**resale..................................................

use in manufacture/processing of goods for sale........

use in mining 

use in generation/distribution of power........................................................

Packing of goods for sale/resale and are covered by my/our registration certificate No ... dated ...issued under the Central Sales Tax Act, 1956. It is further certified that I/We am/are not registered under section 7 of the said Act in the State of .in which the goods Covered by this Form are/will be delivered.

Name and address of the purchasing dealer in full

Date............

The above statements are true to the best of my knowledge and belief.

(Signature).

(Name of the person signing the declaration)

(Status of the person signing the declaration in relation to the dealer)

*Particulars of Bill/Cash Memo/Challan DateNo...Amount....................

#Name & Address of the seller with name of the State.

**Strike out whichever is not applicable.

(Note: To be retained by the purchasing dealer).

THE CENTRAL SALES TAX

(REGISTRATION & TURNOVER) RULES, 1957

FORM 'C'

Form of declaration

[Rule 12(1)]

Name of issuing state.

Office of issue

Date of issue

Name of the purchasing dealer to whom issued along with his Registration Certificate No..

Date from which registration is valid

Serial No.................

To

*(seller)

Certified that the goods

**Ordered for in our purchase Order

No..dated and supplied as per Bill/ Cash Memo/Challan No .dated.. as stated below*

are for

**resale..................................................

use in manufacture/processing of goods for sale........

use in mining 

use in generation/distribution of power........................................................

Packing of goods for sale/resale and are covered by my/our registration certificate Nodated...issued under the Central Sales Tax Act, 1956. It is further certified that I/We am/are not registered under section 7 of the said Act in the State of .in which the goods Covered by this Form are/will be delivered.

Name and address of the purchasing dealer in full

Date............

The above statements are true to the best of my knowledge and belief.

(Signature).

(Name of the person signing the declaration)

(Status of the person signing the declaration in relation to the dealer)

*Particulars of Bill/Cash Memo/Challan DateNo...Amount....................

#Name & Address of the seller with name of the State

**Strike out whichever is not applicable.

(Note: To be retained by the Selling dealer).

THE CENTRAL SALES TAX

(REGISTRATION & TURNOVER) RULES, 1957

FORM 'C'

Form of declaration

[Rule 12(1)]

Name of issuing state.

Office of issue

Date of issue

Name of the purchasing dealer to whom issued along with his Registration Certificate No..

Date from which registration is valid

Serial No.................

To

*(seller)

Certified that the goods

**Ordered for in our purchase Order

No..dated and supplied as per Bill/ Cash Memo/Challan No .dated.. as stated below*

are for

**resale..................................................

use in manufacture/processing of goods for sale...

use in mining ............

use in generation/distribution of power ..............................................

Packing of goods for sale/resale and are covered by my/our registration certificate Nodated...issued under the Central Sales Tax Act, 1956. It is further certified that I/We am/are not registered under section 7 of the said Act in the State of .in which the goods Covered by this Form are/will be delivered.

Name and address of the purchasing dealer in full

Date............

The above statements are true to the best of my knowledge and belief.

(Signature).

(Name of the person signing the declaration)

(Status of the person signing the declaration in relation to the dealer)

*Particulars of Bill/Cash Memo/Challan DateNo...Amount....................

#Name & Address of the seller with name of the State

**Strike out whichever is not applicable.

(Note: To be furnished to the prescribed authority in accordance with the rule framed under Section13(4)(e) by the appropriate State Government.)