THE KERALA VALUE ADDED TAX RULES, 2005 - Forms
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THE KERALA VALUE ADDED TAX RULES, 2005

FORM NO. 25 E

CERTIFICATE TO BE FURNISHED BY AGENT TO PRINCIPAL WHILE CLAIMING INPUT TAX CREDIT/SPECIAL REBATE/REFUND ON BEHALF OF THE PRINCIPAL

(Name and address of the Agent)	Date
	TIN

(Name and address of the Principal with TIN/VRN)	CST R.C. No.

CERTIFICATE - I

Certified that I/We ........................ registered under the KVAT Act, 2003 at ........................... (VAT office Address) have claimed input tax credit / special rebate / refund amounting to Rs.................. in the return in Form No. 10 relating to the month........................... in relation to taxable goods entrusted to me/us for sale as per particulars given below :

Stock transfer Inv. No. and date/ Delivery note no. and date	Description of goods with quantity	Value of goods received (Rs.)	Local Sale		Interstate Sale		Export Sale		VAT Collected Rs.	CST Collected Rs.	VAT paid (output tax Input tax) / Special rebate) Rs.
			Qty (kg)	Value (Rs.)	Qty (kg)	Value (Rs.)	Qty (kg)	Value (Rs.)

CERTIFICATE - II

Certified further that we have claimed and availed of refund on your behalf as per particulars furnished below.

Inter state sale value Rs.	Export sale value Rs.	Input tax relating to col. (1) Rs.	Input tax relating to Col (2) Rs.	Refund order no. with date	Amount of refund Rs.
(1)	(2)	(3)	(4)	(5)	(6)

CERTIFICATE - III

Certified that we have not claimed input tax credit for above interstate/export sales for which refund had been claimed and that refund for the same transaction has not been claimed otherwise. Certified further that input tax credit claimed as per details above has not been claimed against any other sales on behalf of different principal(s) OR in respect of our own goods traded.

SEAL

Name, Signature and Status of the Authorised person.