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The Orissa Value Added Tax Rules, 2005 FORMS
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FORM VAT-403 Omitted w.e.f. 01-07-2017

STATEMENT OF WAY BILLS UTILISED

[See sub-rule-(3) of rule 80]

TIN                      

 

C.S.T.                      

 

Sl.No. of the Way Bill Book Way Bill No. Date of issue by the Sales Tax Office

Name and address of the Consignor /Consignee with TIN Description of goods covered in the Way Bill
1 2 3 4 5
         

Quantity of goods covered under the Way Bill Invoice No. and Date Value Vehicle No. In which consigned Name of the transporter, if any Place of Despatch Destination Remarks
6 7 8 9 10 11 12 13
               

Place _______________

Date ________________

  Signature

Dealer

.

Seal