FORM 26
[See Rule 27(2)]
Declaration
I,..........a dealer holding registration certificate No........under the Chhattisgarh Value Added Tax Act. 2005, in.........circle hereby declare that the goods particulars of which have been given in Appendix I below and purchased by me from Shri.........a dealer holding registration certificate under the said Act have been sold by me in the course of export out of territory of India as per details given in Appendix II below and the said goods were purchased by me after and for the purpose of complying with the agreement or order No......dated.......for or in relation to such export.
I further declare that exemption from tax under the said Act in respect of these goods has not been claimed and that no other declaration has been issued to any other person in the State of Chhattisgarh in respect of these goods.
APPENDIX-I
Total value (in figures) Rs....................(in words)
Rs....................................only
APPENDIX-II
Details regarding export :
*Strike out whichever is not applicable.