THE WEST BENGAL VALUE ADDED TAX RULES, 2005 : FORMS
-

Body

FORM 12B Omiited w.e.f. 1st July, 2010

Form of Declaration

Confirmation to be issued by the selling dealer in respect of sales of goods and payment of tax charged on sales in the appropriate Government Treasury or adjustment by way of input tax credit, etc.

[See rule 30Q]

Serial No.

To ____________________________________________________(Purchasing dealer)

..............................................................................................................

....................................................................................................

holding Certificate of Registration No. ________________ dated_____________ under the West Bengal Value Added Tax Act, 2003

* I/We, the selling dealer mentioned below do certify that I/we * am/are registered under the West Bengal Value Added Tax Act,2003 and *am/are holding the Certificate of Registration No.______________dated___________.

*I/We also certify that the goods particulars of which are given below were * ordered for in your purchase order No.__________ dated_______/*sold to you as per *my/our tax invoice stated below/ *supplied to you under our challan No.____________ dated_____________ .

* I/We further certify that ..

(a) the said transaction of sale was entered in the books of account and was disclosed in the return and

(b) the amount of tax of Rs._______________(in figures) Rupees ________(in words) charged on the said transaction of sale was recorded in the output tax account and was paid by *me/us in the manner laid down in rule 43 in the appropriate Government Treasury at ______________________________________________on__________(date) under Challan No________________ dated__________________ for Rs. ________(in figures) Rupees_________________________________(in words) or that the amount of tax charged on the said transaction of sale was recorded in the output tax account and was adjusted by way of input tax credit referred to in clause (19) of section 2 and the net tax, if any, payable after such adjustment was paid in the manner laid down in rule 43 in the appropriate Government Treasury at _______________________________________ on___________________________(date) under Challan No._______dated________________for Rs. ________(in figures) Rupees________(in words):

Details of sales

Description of the goods sold	Serial No. of the tax invoice	Date of issue of the tax invoice	Value of goods as per the tax invoice excluding the amount of tax charged	Amount of tax charged
(1)	(2)	(3)	(4)	(5)

Note .. Sign against last entry.

Signature with date

Name and status of the person signing the declaration.

COUNTERFOIL

"THE WEST BENGAL VALUE ADDED TAX RULES, 2005

FORM 12B