The Orissa Value Added Tax Rules, 2005 FORMS
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FORM VAT-310

INFORMATION TO BE FURNISHED BY CASUAL DEALER

[Refer sub-rule (4) of rule 52]

01. To

___________________________

YYYY

02. Name and address of the causal dealer

03. I _________ son/daughter/wife of ________, status ___________ of the business __________

furnished herewith the following information

(a) Name and address of the dealer

Present address

Permanent address

(b) Name and address of the Principal place of business

Inside the State

Outside the State

(b) Name and address of other places of business

Inside the State

Outside the State

(d) Date of commencement of business inside the state.

YYYY

(e) Description of goods which intended to be dealt in

Description of goods

(f) The probable date on which,

I intend to leave the present place of residence

D D

M M

Y Y Y Y

(g) The State from which the goods are intended to be bought or brought.

(h) The inventory of goods brought and its value

(Use separate sheet, if the space provided is found inadequate)

Description of goods

Quantity

Value

Rs.

DECLARATION

04.

I _______________________ do hereby declare that the information furnished in the above statement is true and correct to the best of my knowledge and belief.

Place________________

Date ________________

Signature

Status with relation to the business