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Form D-III Sl No.: Form of declaration under section 13 of the Bihar Value Added Tax Act, 2005. (See rule 10) COUNTERFOIL (To be retained by the Selling Dealer) Book No. .......................................... Serial No. ........................................... I/ We ...................................................................................................................... ........................................................................(name and style of Business), Taxpayer Identification No. ................................................................. do hereby declare that I/We have sold ................................................. (goods) .............................. (quantity) for Rs. ..................................... .................................. (value) to M/s. .................................................................. ................................................ vide my/our Cash Memo/Bill no ............................................................... dated ............................... to M/s ...................................................................................................................................... ................................................. having TaxPayer Identification No. ................................................................ 2. I/We further declare that the goods were subjected to sales tax at the point of sale in Bihar by me/us/by M/s ........................................................................................................................................ ........................................................................................................(full address). Place ................................. ................................................................................... Date ................................. Signature and status of the person signing the declaration. Form D-III Sl No.: Form of declaration under section 13 of the Bihar Value Added Tax Act, 2005. (See rule 10) ORIGINAL (To be appended to the Return by the Purchasing Dealer) Book No. .......................................... Serial No. ........................................... I/ We ...................................................................................................................... ........................................................................(name and style of Business), Taxpayer Identification No. ................................................................. do hereby declare that I/We have sold ................................................. (goods) .............................. (quantity) for Rs. ..................................... .................................. (value) to M/s. .................................................................. ................................................ vide my/our Cash Memo/Bill no ............................................................... dated ............................... to M/s ...................................................................................................................................... ................................................. having TaxPayer Identification No. ................................................................ 2. I/We further declare that the goods were subjected to sales tax at the point of sale in Bihar by me/us/by M/s ........................................................................................................................................ ........................................................................................................(full address). Place ................................. ................................................................................... Date ................................. Signature and status of the person signing the declaration. Form D-III Sl No.: Form of declaration under section 13 of the Bihar Value Added Tax Act, 2005. (See rule 10) DUPLICATE (To be retained by the Purchasing Dealer) Book No. .......................................... Serial No. ........................................... I/ We ...................................................................................................................... ........................................................................(name and style of Business), Taxpayer Identification No. ................................................................. do hereby declare that I/We have sold ................................................. (goods) .............................. (quantity) for Rs. ..................................... .................................. (value) to M/s. .................................................................. ................................................ vide my/our Cash Memo/Bill no ............................................................... dated ............................... to M/s ...................................................................................................................................... ................................................. having TaxPayer Identification No. ................................................................ 2. I/We further declare that the goods were subjected to sales tax at the point of sale in Bihar by me/us/by M/s ........................................................................................................................................ ........................................................................................................(full address). Place ................................. ................................................................................... Date ................................. Signature and status of the person signing the declaration. * Strike out which is not applicable ** The declaration shall be signed by the proprietor of the business, if a proprietorship, karta if an undivided Hindu family; by an authorised partner, in the case of a firm; by the managing director, managing agent, or the principal executive officer, in the case of a company, by the principal executive officer or officer incharge in the case of a society, club or association, department or local authority, or by the manager, if any declared by one of these under section 22 of the Bihar Value Added Tax Act 2005. * Strike out which is not applicable ** The declaration shall be signed by the proprietor of the business, if a proprietorship, karta if an undivided Hindu family; by an authorised partner, in the case of a firm; by the managing director, managing agent, or the principal executive officer, in the case of a company, by the principal executive officer or officer incharge in the case of a society, club or association, department or local authority, or by the manager, if any declared by one of these under section 22 of the Bihar Value Added Tax Act 2005. * Strike out which is not applicable ** The declaration shall be signed by the proprietor of the business, if a proprietorship, karta if an undivided Hindu family; by an authorised partner, in the case of a firm; by the managing director, managing agent, or the principal executive officer, in the case of a company, by the principal executive officer or officer incharge in the case of a society, club or association, department or local authority, or by the manager, if any declared by one of these under section 22 of the Bihar Value Added Tax Act 2005.