Form VAT-XI

[See rule 33(4)]

Clearance Certificate for casual trader

Certified that the M/s __________________ who was granted permission to conduct business event from _______ to _______. The said casual trader has concluded the casual business event on ____________(dd. mm. yy) and has deposited the tax and penalty, if any, assessed by the undersigned on ____________.

The goods, as listed below are allowed to be transported out of State of Himachal Pradesh.

Signature of the appropriate Assessing Authority

(with official stamp and seal)