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

FORM 39

Application under clause (b) of Section 61 of the West Bengal Value Added Tax Act, 2003 by

the Diplomatic Missions for refund of tax

[See sub-rule (2) of rule 77]

.................................................(Appropriate authority)

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The................................................................................. (name of the diplomat or diplomatic mission) having office at ........................................................................................................ (address) *has/have purchased goods in West Bengal from dealers registered under West Bengal Value Added Tax Act, 2003 particulrs of which are given below.

I, therefore, request you to kindly refund under the clause (b) of section 61 of the West Bengal Value Added Tax Act, 2003, the sum of Rs. ............................................. (in figure) Rupees ............................................................... (in words) representing tax paid on such goods. The tax invoice in original and photocopies of the same are enclosed for your scrutiny. The Refund Payment Order "(cash)/ Cheque may please be issued in favour of ................................................. Payable in the Savings/Current Account No. ............................ of the ............................... Branch of the .................................................................. (Bank).

Particulars of purchase

Name & Address of the registered dealer from whom the goods were purchased	Registration Certificate No. of the selling dealer	Purpose of purchase Personal / official use	Tax invoice No. with date	Tax invoice amount in rupees	Tax paid in this Tax invoice in rupees


Total tax paid :

Signature....................................................

Status...............................................

N.B. The application for refund of tax is to be filed before the Commissioner or the person authorised on this behalf , ordinarily within three months from the date of purchase.

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* Strike out whichever is not applicable.

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