The West Bengal Sales Tax - Forms
-

COUNTERFOIL / DUPLICATE / ORIGINAL

FORM 42

Way bill for transport of consignment of goods despatched from outside West Bengal to any place inside West Bengal

(See rule 211, rule 212, rule 213)

Office and Date of Issue

Office Seal

Serial No. 1

2.	Name and Address of the Dealer/ Person importing the goods	2A.	Registration Number (if any)

	Trade Name :	WBST :
	Address :	CST :

2B.

Income Tax Permanent Account No. (PAN)

3.	Name and Address of the Dealer/ Person from whom the goods are purchased/imported	3A.	Registration Number (if any)
	Trade Name :		State ST :
	Address :		CST :

	State :

3B.

Income Tax Permanent Account No. (PAN)

4. Description, Quantity and Value of Goods

SI. No.	Commodity	Invoice No. & Date	Quantity	Value of goods (Rs.)
	Code
1.	Name

*Please use reverse side if the names of commodities exceed 1.

5. Name and Address of the Transporter/owner of the vehicle by which the goods are consigned	5A. Vehicle Number
Name :
Address :
	5B. Consignment Note No.

Declaration: *I/We declare that *I/we *am/are registered dealer under West Bengal Sales Tax Act, 1994, holding Registration Certificate No. ............................and the statements are correct to the best of my/our knowledge and belief.

Name of the dealer............................................................................................

Signature of Proprietor/Partner/authorised person..........................................

Status /Designation............................................................................................

Stamp

4. Description, Quantity and Value of Goods

SI. No.	Commodity	Invoice No. & Date	Quantity	Value of goods (Rs.)
2.	Code
	Name
3.	Code
	Name
4.	Code
	Name
5.	Code
	Name

Name of the dealer...........................................................................................................................

Signature of Proprietor/Partner/authorised person...........................................................................

Status /Designation..................................................................................................

[Stamp]

Name of the Notified *Place/Station/Areas

	Date	Month	Year
Date of Endorsement

Signature of the endorsing Commercial Officer/Inspector..............................

(Seal)

* Strike out whichever is not applicable.