FORM VR-II
Register of Forms D-III/D-XI issued under the Bihar Value Added Tax Rules, 2005
(to be furnished separately with regard to Form D-III and Form D-XI)
[See Rules 10 and 19(3A)]
1. Name and style of the business : .........................................................................................................
2. Taxpayer identification number of the selling dealer : ..........................................................................
3. Period to which the statement relates : ................................................................................................
4. Name of the Circle to which the statement relates : ...........................................................................
Part B
Name of the press from which the forms were printed: ..................................................................................................
Address of the press from which the forms were printed :...............................................................................................
Taxpayer Identification Number, if any, of the press from which the forms were printed:
..........................................................................................................................................................................................
Part C
Total value of forms issued during the quarter :..............................................................................................................
Total tax deposited during the quarter : ........................................................................................................................
Remarks : .................................................................................................. ......................................................................
Verification
I do hereby declare that the above particulars are correct and complete to the best of my knowledge and belief.
*Funish, as an Annexure, dealerwise utilization statement indicating therein details of sales effected during the period