GOVERNMENT OF JHARKHAND COMMERCIAL TAXES DEPARTMENT Name of the Printer/Computer Generated: Self (in Bold letters) FORM JVAT 405 Form of declaration for the payment of Tax on Entry of Goods [See Rule 36(1) & 36(2)] COUNTERFOIL (To be retained by the Selling Importer / Dealer) Book No......... Sl. No...... I/We ........ (Name and Style of business) VAT Registration TIN No....... do hereby declare that I/We have sold/transferred ........ (name of goods) ...... (Quantity) ...... for Rs...... (Value) to M/s ...... VAT Registration TIN No........ through my/our cash Memo/Bill No....... 2. I/We further declare that the goods were subjected to tax on Entry at the point of import by M/s ......... Full Address .......... VAT Registration TIN No......... being an importer dealer at the first point of entry into a local area in the State of Jharkhand. Place...... Signature and status of the person Date...... signing the declaration Name of the Printer/Computer Generated: Self (in Bold letters) FORM JVAT 405 Form of declaration for the payment of Tax on Entry of Goods [See Rule 36(1) & 36(2)] ORIGINAL (To be appended in the Return by the Second or the subsequent Importer / Dealer) Book No......... Sl. No...... I/We ........ (Name and Style of business) VAT Registration TIN No....... do hereby declare that I/We have sold/transferred ........ (name of goods) ...... (Quantity) ...... for Rs...... (Value) to M/s ...... VAT Registration TIN No........ through my/our cash Memo/Bill No....... 2. I/We further declare that the goods were subjected to tax on Entry at the point of import by M/s ......... Full Address .......... VAT Registration TIN No......... being an importer dealer at the first point of entry into a local area in the State of Jharkhand. Place...... Signature and status of the person Date...... signing the declaration Name of the Printer/Computer Generated: Self (in Bold letters) FORM JVAT 405 Form of declaration for the payment of Tax on Entry of Goods [See Rule 36(1) & 36(2)] DUPLICATE (To be retained by the Purchasing Importer/Dealer) Book No......... Sl. No...... I/We ........ (Name and Style of business) VAT Registration TIN No....... do hereby declare that I/We have sold/transferred ........ (name of goods) ...... (Quantity) ...... for Rs...... (Value) to M/s ...... VAT Registration TIN No........ through my/our cash Memo/Bill No....... 2. I/We further declare that the goods were subjected to tax on Entry at the point of import by M/s ......... Full Address .......... VAT Registration TIN No......... being an importer dealer at the first point of entry into a local area in the State of Jharkhand. Place...... Signature and status of the person Date...... signing the declaration Name of the Printer/Computer Generated: Self (in Bold letters) FORM JVAT 405 Form of declaration for the payment of Tax on Entry of Goods [See Rule 36(1) & 36(2)] TRIPLICATE (To be appended in the Return by the subsequent Importer / Dealer) Book No......... Sl. No...... I/We ........ (Name and Style of business) VAT Registration TIN No....... do hereby declare that I/We have sold/transferred ........ (name of goods) ...... (Quantity) ...... for Rs...... (Value) to M/s ...... VAT Registration TIN No........ through my/our cash Memo/Bill No....... 2. I/We further declare that the goods were subjected to tax on Entry at the point of import by M/s ......... Full Address .......... VAT Registration TIN No......... being an importer dealer at the first point of entry into a local area in the State of Jharkhand. Place...... Signature and status of the person Date...... signing the declaration
