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The Jammu and Kashmir Value Added Tax Form, 2005.
-

FORM VAT-59

[See rule 68(c)]

DELIVERY NOTE

(In Triplicate)

Book No................ Serial No..............
   
Circle of issue.......................... Division........................

Name of the dealer with complete Address .........................................
  .........................................
   
  TIN : ...................................
   
Name and complete address of the Tpt/Clearing agency/Rly.Stn./Airlines Office From which the goods are released in the J&K State.  
   
G.R./R.R.No.....................Date....................place of despatch____________
   

Name & complete address of the consignor/Seller along with :- .........................................
  .........................................
   
  TIN : ...................................

Serial No & date Bill of sale Cash Memo Transfer Voucher
       
       
       

Particulars of goods:    
[i) Description (ii) Mark, if any
(iii) No. of packages (iv) Weight
(v) Value (vi) Purpose of import
       

(i.e whether Sales/Manufacture/Transfer/execution of contract etc.)

Particulars of the person authorized to take the Goods from the Tpt. Agency

(i) Name

(ii) Status

(iii) Signature

Means of transportation from the Tpt. Agency/Rly.Stn/

Airlines Office to the premises of the dealer.

Date................... Signature of the dealer or his Authorised agent,status/relation With dealer......................
   
For use by the Tpt. Agency For use by the officer I/C CheckPost, Rly.Stn/Air Lines, Srinagar/Jammu.
   
---------------------------------- ----------------------------------
   
No. & date of delivery Register in Form VAT .......... (i) Name of the Checkpost...............
   
Name of the person taking delivery And his relation with the dealer (ii) Date of crossing of goods.............
  (iii)Goods, if detained brief reasons thereof
....................................... .................................................
  .................................................
  .................................................
   
Signature of the Manager of Regular employee of the Tpt. Agency Signature of the Officer with designation by whom checked
   
Seal Countersignature of The Officer I/C
   
   

Note:-

Ist Foil - To be retained by the dealer

IInd foil - To be attached with the monthly return by transporter

IIIrd foil - To be retained by transporter for its record.