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

FORM No. 42

DECLARATION

(For concessional rate of tax on the sale to UT of Lakshadweep/Laccadive Co-operative Marketing Federation etc )

[See Rule 12 C (1) ]

HELP LINE contract persons/Ph. No

 

Date: D D   M M   Y Y

TIN*                  

This is to certify that we have purchased the goods described below from M/S .......... ( Full address of the seller with TIN) during the month/financial year .......... which are exclusively intended for use in the Union Territory of Lakshadweep.

Certified further that we have been recognised by the Administrator,Union Territory of Lakshadweep for Effecting sales of such commodities in the Union Territory of Lakshadweep as per Order No.........dated ................ (applicable only for traders)

We also hereby undertake to pay over to the Government the tax concession availed of by us the event of our failure to utilise the goods for the purpose declared.

Particulars of goods purchased

Sl. No. No. & date of Tax Invoice Description of goods Quantity Value VAT paid
1 2 3 4 5 6
 
 
 
 
 

 

         

 
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SEAL

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Signature, name & Status of the Signatory