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

FORM 40

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

the agencies of the United Nations for refund of tax

[See sub-rule (2) of rule 78]

To

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

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

The ...................................................................... (name of the agency of the United Nations) having office at ................................................................................................................... (address) have purchased goods in West Bengal from dealers registered under West Bengal Value Added Tax Act, 2003 particulars

of which are given below.

I, therefore, request you to kindly refund under the clause (c) of section 61 of the West Bengal Value Added Tax Act, 2003, the sum of Rs. ...................................... (in figure) Rupees ........................................... (in words) representing sales tax paid on such goods. The tax invoices 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 Tax invoice No. with date Tax invoice amount in rupees Tax paid in this Tax invoiced 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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