GOVERNMENT OF JHARKHAND
COMMERCIAL TAXES DEPARTMENT
FORM JVAT 404
Form of Declaration under the Jharkhand Value Added Tax Rules 2006 (for goods in Part A, B, C & D of Schedule-II of the Act)
[See Rule 35(2), 35(3), 35(4)]
COUNTERFOIL
(To be retained by the Selling VAT Dealer)
Book No ............ Serial No. ............
I/We............................................. (name and style of Business), VAT Registration TIN ......... do hereby declare that I/We have sold taxable goods listed in Part-A, B, C and D of Schedule-II for Rs........................... (value) to M/s .................. TIN............, through our "Tax Invoices", for the period from......... to .........
2. I/We further declare that, the goods were subjected to Output Tax, at the point of sale by us in the State of Jharkhand and we declare to have deposited the Output Tax charged, into the Government Treasury.
TIN............... being Importer / manufacturer / seller / reseller / selling agent M/s........................ (full address).
+ Registration no...............................
++ Signature and status of the person signing the declaration
Place .....................
Date .....................
ORIGINAL
(To be appended to the return by the Purchasing Dealer)
DUPLICATE
(To be retained by the Purchasing VAT Dealer)
+ Give here Registration no. under the Jharkhand VAT Act 05.
* Strike out which is not applicable.
++ The declarations shall be signed by the proprietor of the business, if an individual; by the Karta if an undivided Hindu family; by an authorized partner in the case of a firm: by a Managing Director, Managing Agent, or Principal Executive Officer in the case of a Company or Corporation, by the Principal Executive Officer or Officer-in-charge in the case of a society, club, association, department of Government or local authority, or by the Manager, if any, declared by any one of these under section 61 of the Jharkhand VAT Act 05.