The Assam Value Added Tax Rules, 2005. Forms
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Body

THE ASSAM VALUE ADDED TAX RULES, 2005

FORM-62

[See Rule 41(12)]

ROAD PERMIT

Book No. .....................................................	Serial No .................................
Date of issue ...............................................
To whom issued ..........................................
(Name and address)

To,

The Superintendent of Taxes,

__________________________

I/We ____________________________hereby declare that the following consignment of ......................... Is being imported into Assam .......................... For-

a) my/our own use/personal consumption.

b) use in setting up of an industrial unit.

c) use as raw materials directly in the manufacture of goods in my/ our industrial unit situated at_______________________

d) use in the operation of my/our industrial unit situated at_________

Particulars of goods-

a) Description of goods:

b) Quantity :

c) Value :

d) Consignor's Invoice No. and date:

e) Place from which despatch:

f) Destination to which despatched :

g) (i) Name of transporter ...............................................................

(ii) Consignment No.................................. and date......................

(iii) Registration No. of the vehicle .................................................

(iv) Name of the owner of vehicle...................................................

(v) Date of interception at the Checkpost...........................................

h) Remarks, if any:

I/We hereby declare that I/We am/are not a registered dealer under the Assam Value Added Tax Act, 2003/ a registered dealer under the Assam Value Added Tax Act, 2003 holding certificate of registration No._________.. and the above statements are true to the best of my knowledge and belief.

Date	Name of the dealer:
	(in full)
	Signature of the applicant
Address:
	Status of the applicant
Circle	Date :
Seal:

NB:- The Road permit in triplicate must be obtained from the prescribed Authority concerned on payment as prescribed.

2.This Road Permit shall remain valid for 180 days from the date of issue by the prescribed Authority.