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

FORM 33

[See sub-rule (2) of rule 79A]

[Application for refund of input tax credit or input tax rebate under sub-section (8A) of section 22.]

The Commissioner of Sales Tax

*I/We.......................................................................................(*Proprietor/Partner/......................) *carrying on business under the trade name................................................................................................................................../on behalf of............... .................................(Company/HUF/......................) hereby apply for refund of the ninety per centum of the accumulated input tax credit or input tax rebate under sub-section (8A) of section 22 of the West Bengal Value Added Tax Act, 2003 in respect of the quarter ending on......................, and the details of such quarter are furnished below:-

(1) Amount of purchase of taxable goods, other than capital goods, in West Bengal against valid tax invoices.	Rs.
(2) Amount of capital goods purchased in West Bengal against valid tax invoices.	Rs.
(3) Out of (1) and (2), amount claimed as input tax credit or input tax rebate for use of goods under clause (a) to clause (i) of sub-section (4) of section 22.	Rs.
(4) Seventy five per centum of the Input tax credit claimed as refund in lieu of 100 per centum accumulation under Section 22(8A)
(5) Certificate of Eligibility No. (* Form 77 / Form 79)
(5a) Certificate of Eligibility renewed upto
(6) Location of the unit referred to in form 77/ Form 79

(7) Details of production:		Units	Rs.
	(a) Actual production
	Item No. 1
	Item No. 2
	Item No. 3
	(b) Installed capacity
	Item No. 1
	Item No. 2
	Item No. 3
	(c) Addition to capacity, during the period
	Item No. 1
	Item No. 2
	Item No. 3

(8) Names of Principal raw materials used in manufacture of goods during the period

(9) Consumption of raw materials during the period

Description of raw materials	Quantity Consumed	Value (in Rs.)

(10) Processing Loss, if any

Description of raw materials	Quantity Consumed	Value (in Rs.)

(11) Name, address and other details of five big suppliers of goods as shown in items (1) and (2) above:
Name and address of the supplier	R. C. No.	Goods purchased	Total quantity purchased	Total amount of purchase in Rs.

(12) Account Details for electronic fund transfer

(A) Account Number:

(B) Bank Name :

(D) IFSC Code of the Branch

(E) A/c Type : Savings / Current

(F) Name of the Account Holder

(13) *I/We declare that-

(A) no input tax credit or input tax rebate has been claimed on goods specified in the negative6 list;

(B) all the goods purchased on which input tax credit or input tax rebate have been claimed are meant for *my/our manufacturing purpose only;

(C) accounts are kept by *me/us in accordance with the provision of section 63 of the Act read with rule 87 and rule 187.

(D) Refund has been claimed on the sale of goods manufactured in my unit:

*I/We certify that the above statement and declaration are true and correct to the best of *my/our knowledge.

	Signature...........................................
	Status.................................................

Signature with the date and status

( Proprietor/ Partner/ Karta, HUF/ Principal Officer/

Trustee/ President/ General Secretary)

____________________________________________________________________________________

*Strike out whichever is not applicable.