Form Of Declaration - The Central Sales Tax Rules, 1957

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COUNTERFOIL
DUPLICATE
ORIGINAL
THE CENTRAL SALES TAX
THE CENTRAL SALES TAX
THE CENTRAL SALES TAX
(REGISTRATION AND TURNOVER)
(REGISTRATION AND TURNOVER)
(REGISTRATION AND TURNOVER)
RULES, 1957
RULES, 1957
RULES, 1957
1
[FORM C
1
[FORM C
1
[FORM C
FORM OF DECLARATION
FORM OF DECLARATION
FORM OF DECLARATION
[See rule 12(1)]
[See rule 12(1)]
[See rule 12(1)]
Name of issuing State ______________________________________
Name of issuing State ______________________________________
Name of issuing State ______________________________________
Office of issue _____________________________________________
Office of issue _____________________________________________
Office of issue _____________________________________________
Date of issue _____________________________________________
Date of issue _____________________________________________
Date of issue _____________________________________________
Name of the purchasing dealer to whom issued along with his
Name of the purchasing dealer to whom issued along with his
Name of the purchasing dealer to whom issued along with his
Registration Certificate
Registration Certificate
Registration Certificate
No _______________________________________
No _______________________________________
No _______________________________________
Date from which registration is valid ______________________
Date from which registration is valid ______________________
Date from which registration is valid ______________________
Serial No _________________________________
Serial No _________________________________
Serial No _________________________________
Seal of Issuing Authority
Seal of Issuing Authority
Seal of Issuing Authority
To
To
To
*(Seller)
*(Seller)
*(Seller)
Certified that the goods
Certified that the goods
Certified that the goods
1
1
1
[**Ordered
for
in
our
purchase
Order
No.
[**Ordered
for
in
our
purchase
Order
No.
[**Ordered
for
in
our
purchase
Order
No.
________________ dated ________________ and supplied as
________________ dated ________________ and supplied as
________________ dated ________________ and supplied as
2
2
2
per Bill/Cash memo/
[challan No ___________________ dated
per Bill/Cash memo/
[challan No ___________________ dated
per Bill/Cash memo/
[challan No ___________________ dated
____________________ as stated below *** purchased from you as
____________________ as stated below *** purchased from you as
____________________ as stated below *** purchased from you as
per Bill/Cash Memo/] Challan No ___________________ dated
per Bill/Cash Memo/] Challan No ___________________ dated
per Bill/Cash Memo/] Challan No ___________________ dated
_________________ as stated below*** supplied under your challan
_________________ as stated below*** supplied under your challan
_________________ as stated below*** supplied under your challan
No _______________ dated ______________ are for **
No _______________ dated ______________ are for **
No _______________ dated ______________ are for **
resale
resale
resale
use in manufacture/processing of goods for sale use in mining
use in manufacture/processing of goods for sale use in mining
use in manufacture/processing of goods for sale use in mining
use in generation/distribution of power
use in generation/distribution of power
use in generation/distribution of power
1. Ins. by S.R.O. 896, dated 23rd September, 1958 (w.e.f. 1-10-1958).
2. Ins. by G.S.R. 962 (E), dated 30th December, 1976.

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