FORM VR III
Register of Forms D-III/D-XI received 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 purchasing dealer :
3. Period to which the statement, relates
4. Name of the Circle to which the statement relates :
5. *Total number and value of forms received during the quarter :
6. Total value of purchases of goods specified in Schedule IV :
7. Total Sale effected during the quarter :
8. Total tax deposited during the quarter :
Remarks : __________________________________________________________________
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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