FORM 40A

Application for way bill in Form 42 for transport of goods imported into West Bengal by a person, dealer or casual trader, other than a registered dealer

(See rule 215A/215B read with rule 211, rule 212, rule 213)

To

............................................................ [*assessing authority/authorised officer mentioned in rule *215A (1)/215B (1)]

........................................................... (Name of *Charge/Division/Circle/Check-post.)

*I/We ................................................ (Name) *am/are-

*(a) not a dealer or a casual trader,

(b) carrying on business as a dealer under the trade name of ........................ at .................. (address) and I am/we are not registered under the West Bengal Sales Act, 1994,

*(c) a casual trader as defined under the West Bengal Sales Tax Act, 1994,

and do hereby apply under *rule 215A/rule 215B of the West Bengal Sales Tax Rules, 1995 for ....................................... (state the number) of way bills in Form 42 as required under rule 211, rule 212 and rule 213 for the purpose of transport of goods brought or imported by *me/us into West Bengal (particulars of which are given below):

I/We declare that-

*(a) I am/we are not liable to pay tax under the said Act,

*(b) I am/we are liable to pay tax under the Act as a dealer and I have/ have not *applied for registration under section 26,

*(c) I am/we are liable to pay tax as a casual trader and I have deposited the tax under *section 11 under challan No. ........................... dated ........................ of *Reserve Bank of India/Government Treasury at ............................ for Rs. ......................

*I/We further declare that-

*(a) no way bill in Form 42 has been received on any previous occasion by me,

*(b) way bill in Form 42 has been received by me on the last occasion /last two occasions as follows :

(i) ........................................... (here state the total number) forms bearing SI. No. (s) ................. to .......................... on ...................... (date).

(ii) ............................................... (here state the total number) forms bearing SI. No. (s)  ................................. to .................................. on ...................................... (date).

*(c) the stock of way bill in Form 42 held on ............................................ (date of application) is ...................................... (total number) bearing Sl. No. (s) ...............................

*Separate statement in Form 42A of receipt and issue of way bill in Form 42 as required under rule *215A (3)/215B (3) is enclosed herewith.

Particulars of the consignment of goods in respect of which way bills are required (use separate sheet if consignment is more than one).

*I/We do hereby verify and declare that what is stated in this application is true to the best of my knowledge and belief.

Please supply the way bills in Form 42 to *me/us/............................................. (specify full name) who is hereby duly authorised to receive the said form and acknowledge the receipt thereof. The attested signature of the authorised recipient is appended below.

Attested signature of the recipient : ....................................................

*Strike out whichever is not applicable.