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THE RAJASTHAN VALUE ADDED TAX RULES, 2006 - FORMS
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Form VAT - 49 A

[See Rule 54(1)]

DECLARATION FOR CARRYING GOODS OUTSIDE THE STATE BY REGISTERED DEALER

Form No.

Date of issue

Certified that the goods, particulars of which are given below are sold / consigned by me to ......................................................................................... (place with State) for sale outside the state of Rajasthan or by way of branch transfers / depot transfers / stock transfers, or in the course of inter-State trade or commerce or by principle to outside agent(s) or agent to outside principal(s) and I / We hold myself / ourselves liable for payment of tax as per law

1. Name of consignor                                                    
2. Registration Number. (TIN)                      

3. Details of dispatches

Name of Consignee Registeration No. (TIN) Invoice / Bill / Dispatch memo
    No. Date Value/estimated value (in Rs.) Name of Commodity
1 2 3 4 5 6