Form 50 Declaration Form
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1FORM 50
{See rule 71}
Declaration
Under section 57 of the Madhya Pradesh Vat Act, 2002 in respect of goods
belonging to a person.
1
(a) Name and complete address of the
...........................................
consignor
(b) Registration certificate No. under
...........................................
the
State Sales Tax law of
the
appropriate State (if any)
2
Name and complete address of the
...........................................
consignee
3
Place from which the goods dispatched.
...........................................
4
Consignor's invoice No. and date
...........................................
5
Destination
(including
complete
...........................................
address)
6
Brief description of goods
...........................................
7
Total quantity or total weight
...........................................
8
Total value
...........................................
9
(a) name and address of the carrier
...........................................
(transport
company or owner of the
vehicle etc.) and
vehicle number
(b) Bilty / LR No. and date
I,__________________ declare that to the best of my knowledge and belief the above
statements are true and correct.
Place
Date
Seal and signature of the consignor of the goods
(To be completed in the office of the check post)
Date and time of arrival of the vehicle
at the check post __________
Date and time of departure of the vehicle
from the check post _______
Seal
Date
Signature and designation
Reasons for abnormal detention of the
vehicle at the check post ________
82
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