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

FORM 55

Statement of receipt and issue of way bill in Form 51

[See sub-rule(3) of rule 110/sub-rule(3) of rule 111/sub-rule(3) of rule 112]

Name of the person or dealer issuing the Way Bill in Form 51

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

(Address)

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

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

No. of certificate of registration (if any)-

State:

Central:

A. Receipts:

Date:

Serial Number:

B. Issues :

Sl. No	Way Bill In Form 61		Name and address of the Transporter	Consignment Note		Bill/Cash Memo/Challan No.	Description of goods		Nature of goods transported	Name of exit checkpost or other place	Consignee's name and address
	No.	Date of issue		No.	Date		Name	Quantity

C. Serial Nos. of Way Bill in Form 51 lying in stock on the date of application:

Way Bill
....................................................................................................................................................
No.	Date of issue	Consignee's name and address

______________________________________________________________________________

Certified to be true and correct.

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

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

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

_________________________________________________________________________________________

Note: This form duly filled in and signed is required to be furnished in duplicate to the appropriate assessing authority on each occasion with application for Way Bill in Form 51.