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The Jammu and Kashmir Value Added Tax Form, 2005.
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FORM VAT-68

[ See rule 74(b)]

STATEMENT OF CASH SECURITIES UNDER SECTION 67(10) OF THE JAMMU AND KASHMIR VALUE ADDED TAX ACT, 2005

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1 2 3
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S. No. Name and full address of the owner of goods Name and address of person Furnishing security, if other than the owner of the goods
     

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4
Type of security
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Cash Post Office Savings Bank Account Bank Guarantee Date of expiry of Bank Guarantee/Post Office/Savings Bank Account.
       
       
       

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5 6 7
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Account of Security No. and date of receipt issued Particulars of the goods
    Nature Value
    -------------------------------
    Invoice Market
    Rs. P. Rs. P.
       
       

  Signature of Officer Incharge / Notified Area/Check Post/ Empowered Authority
   

Date...............