THE KERALA VALUE ADDED TAX RULES, 2005

FORM No. 25F

DECLARATION OF PAYMENT OF TAX BY THE AGENT / PRINCIPAL

(See Rule 10(1)(h))

Certified that I/We ................................................ (Full address of the agent/principal issuing the declaration) am/are registered dealer on the rolls of ................................ (Mention VAT office address) and have sold goods described below *on behalf of our principal M/S ....................... Through* our agent M/S ................................. OR have purchased goods described below from persons other than registered dealers on behalf of our principal M/S .............................. For the month of ...................... collecting VAT amounting to Rs. ......................... or incurring Purchase Tax liability amounting to Rs. ................... and have paid the same along with return in Form No. 10 relating to the month of ........................ Filed on ................. (Delete or modify appropriately)

PARTICULARS OF GOODS SOLD/PURCHASED