The Orissa Value Added Tax Rules, 2005 FORMS
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FORM VAT-616

CERTIFICATE TO BE ISSUED BY THE PROPRIETOR / AUTHORIZED OFFICER

OF THE UNIT LOCATED IN AN SEZ / STP / EHTP OR AN EOU TO THE SELLING

DEALER ON PURCHASE OF GOODS

(See Rule 6(c) and (d))

I, Sri .............................................. Designation / status ........................ of M/s .................................................. (Name of the unit) do hereby certify that our unit is located in ............................ SEZ / STP / EHTP (Name of the SEZ / STP / EHTP) or is an EOU (strike out whichever is not applicable) bearing certificate No. ............................ dt.................. issued by ........................ and is valid till dt................. .

I, further certify that the goods purchased from M/s ........................................................ TIN ....................

as per the details furnished in the Schedule below are for use as capital goods in terms of clause (8) of Section 2 of the Orissa Value Added Tax Act or for use in the manufacturing of goods by us.

	Signature of the dealer
Place _____________	Designation / Status
Date ______________	Seal

SCHEDULE

Sl. No.	Tax invoice No.	Date	Name of the goods	Quantity	Value
1.
2.
3.

	Signature of the Dealer
Place _____________	Designation / Status
Date ______________	Seal