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Section

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Rules

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Schedule

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17 Levy and rates of tax on sales

77 Declaration and certificate and other evidence in respect of purchases in West Bengal of goods specified in Schedule VIIIA or Schedule II

Schedule VIIIA : Goods on sale of which tax is leviable at the rate fixed in column (3), or in column (4) when provisions of section 17(2a) apply, against the corresponding entry of such goods in column (2), of this schedule

The West Bengal Sales Tax - Forms
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FORM 13C		FORM 13C
Form of Declaration		Form of Declaration
To be issued by the selling dealer		[See rule 77(1A)]
[See rule 77(1A)]		Serial No. ...............
		To .................................. (Purchasing dealer) .......................... (Address) holding certificate of registration No. ........ dated .................. under the West Bengal Sales Tax Act, 1994
COUNTERFOIL
Serial No. ..........................
To ............................. (Purchasing dealer) ................................. (Address) holding certificate of registration No. ...... dated ................. under the West Bengal Sales Tax Act, 1994
		I/We the selling dealer mentioned below, do certify that I/we am/are registered under the West Bengal Sales Tax Act, 1994, and am/are holding certificate of registration No. .......... dated ....................
Declaration given against:
1	2
*Order/ Challan/ Bill/Invoice/Cash memo. No. and date	Quantity/Weight/Value of the goods sold to the purchasing dealer for the purpose of resale, by him in West Bengal which fall within the provision of section 173(3)(a)(viiia)

		I/We further certify that the goods specified in Schedule VIIIA, particulars of which are given below were ordered for in your purchase Order No. ........... dated ................ /sold to you as per my/our bill/invoice/cash memo stated below/supplied to you under our challan No. ............ dated ................., for the purposed of resale by you in West Bengal.
		I/We also certify that I/we *am/are-
		*(a) liable to pay tax on the sales made to you at the rate fixed in column (4) of Schedule VIIIA in accordance with the provisions of section 17(2A);



		*(b) entitled to deduction under section 17(3)(a)(viiia) in respect of sales
		made to you :-
		1	2
		*Order/ Challan/ Bill/Invoice/Cash memo. No. and date	Quantity/Weight/Value of the goods involved in the transactions referred to in column 1, which fall within the provisions of section 17(3)(a)(viiia)
		Note :- Sign against last entry ...................
		Name and address of the selling dealer
		......................
Note:- Sign against last entry		Signature and status of
		the person signing the declaration ...........................

* Strike out whichever is not applicable.