THE WEST BENGAL VALUE ADDED TAX RULES, 2005 : FORMS
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THE WEST BENGAL VALUE ADDED TAX RULES, 2005

FORM 12

Declaration of an agent or auctioneer in respect of goods sold by him

[See sub-rule (1) of rule 32]

Serial No.------------------------------

---------------------------------------------------- (Name of the dealer)

-----------------------------------------------------(Address)

We certify that the undermentioned goods are specified in our certificate of registration

No.

dated ...................................under the West

Bengal Value Added Tax Act, 2003 and that we have sold your goods as per following account sale and that the tax at the appropriate rate in respect of such sale has been deposited into the apprpriate Government Treasury as per details given below:

Lot No.

Name of Commodity

Account Sale No.

Date of Sale

Amount Rs.

Buyer's Certificate of Registration No., if any

Amount of Tax Paid Rs.

Challan No and Date and Name of Treasury

Remarks.

Date.............................

..................................................

(Signature of the agent/auctioneer)

..................................................

Designation

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N.B. All the certificates issued in this form during a year should bear consecutive serial nos. of the office of the dealer (agent/auctioneer) giving the certificate and true copies of the same should be retained by him.

*Strike out whichever is not applicable