The West Bengal Sales Tax - Forms
-

FORM 41A

Application for way bill in Form 48 for transport of goods from any place in West Bengal to any place outside West Bengal by a person, dealer or casual trader, other than a dealer registered under the Act

(See rule *215A/215B read with rule 214C)

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

............................................................................ (*Charge/Division/Section/Circle/ Checkpost.)

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

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

*(b) carrying on business under the trade name of ....................................................... at ...................................... (address) and I/We have not yet incurred liability to pay tax/and am/are not registered under the West Bengal Sales Tax Act, 1994.

*(c) a casual trader as defined under the West Bengal Sales Tax Act, 1994, and I/We have made purchases of goods intended to be transported from ......................(place) .......................not being a fixed place of business,

and do hereby apply under *rule 215A/215B of the West Bengal Sales Tax Rules, 1995 for ............................. (state the number) of way bills in Form 48 as required under rule 214C for the purpose of transport of goods (particulars of which are given below) from................(state the address) in West Bengal to .......................(state the address, if any) outside West Bengal.

I declare that-

*(a)	I am not liable to pay tax under the said Act,
*(b)	I am liable to pay tax under the Act and I have/have not applied for registration on under section 26,
*(c)	I am liable to pay tax as a casual trader and I have deposited the tax under section 14 on purchases made by me/us in West Bengal from .......................(specify the place) 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 48 has been received by me on any previous occasion,
*(b)	way bill in Form 48 has been received on the last occasion (when received only one)/two occasions, -
	(i) ....................(here state the total number of forms) forms bearing SI. No. (s) ............. to ............... on ................(date)
	(ii) ....................(here state the total number of forms) forms bearing SI. No. (s) ................ to ................ on ................(date).
*(c)	the stock of way bill in Form 48 held at the time of application is ..............(total number) bearing SI. No. (s) ....................

*Separate statement of receipt and issue of way bill in Form 48 as required under rule *215A (3)/215B (3) is enclosed herewith.

Particulars of the consignment of goods in respect of which way bill in Form 48 as required:

Description of goods

Quantity

Value (Rs.)

Transporter's name and address

Consignment Note No.

Expected point of exit from West Bengal (Name of checkpost)

*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 48 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 : ...............................

Date:................	Signature ...................................
	Status.............................
	*Address of place of business/residence

*Strike out whichever is not applicable.