GOVERNMENT OF JHARKHAND COMMERCIAL TAXES DEPARTMENT Form JVAT 506 (See Rule 44 of the Jharkhand VAT Rules, 06) Name of the Printer/Computer Generated: Self (in Bold Name of the Printer/Computer Generated: Self (in Bold Name of the Printer/Computer Generated: Self (in Bold letters) letters) letters) [See Rule 44(1)(a)] [See Rule 44(1)(a)] [See Rule 44(1)(a)] Form of Declaration by a Transferee Form of Declaration by a Transferee Form of Declaration by a Transferee COUNTERFOIL DUPLICATE ORIGINAL (To be retained by the Transferee) (To be retained by the Transferee) (To be retained by the Transferee) Serial No. ........ Serial No. ........ Serial No. ........ Name of issuing dealer ........ along with his Name of issuing dealer ........ along with his Name of issuing dealer ........ along with his Registration Certificate. Registration Certificate. Registration Certificate. Name of issuing office.......... Name of issuing office.......... Name of issuing office.......... Date of issue........... Date of issue........... Date of issue........... Seal of issuing.......... Seal of issuing.......... Seal of issuing.......... Authority Authority Authority To To To ......... (transferor) ......... (transferor) ......... (transferor) Registration Certificate No....... of transferor Registration Certificate No....... of transferor Registration Certificate No....... of transferor ....... Certified that goods transferred to me/us ....... Certified that goods transferred to me/us ....... Certified that goods transferred to me/us as per details below have been received and duly as per details below have been received and duly as per details below have been received and duly recorded ...... recorded ...... recorded ...... Description of goods sent Quantity and/or weight Description of goods sent Quantity and/or weight Description of goods sent Quantity and/or weight value of goods..... No. & date of invoice or value of goods..... No. & date of invoice or value of goods..... No. & date of invoice or challan under which goods sent ...... Name of challan under which goods sent ...... Name of challan under which goods sent ...... Name of mode of transport with vehicle No... no. & date of mode of transport with vehicle No... no. & date of mode of transport with vehicle No... no. & date of R. R. or lorry challan or any other documents R. R. or lorry challan or any other documents R. R. or lorry challan or any other documents indicating means of transport. Date on which delivery indicating means of transport. Date on which delivery indicating means of transport. Date on which delivery was taken by the transferee. was taken by the transferee. was taken by the transferee. The above statements are true to the best of my The above statements are true to the best of my The above statements are true to the best of my knowledge & belief. knowledge & belief. knowledge & belief. Signature Signature Signature (Name of the person signing the declaration with (Name of the person signing the declaration with (Name of the person signing the declaration with status) status) status) Note: to be retained by the transferee. Note: to be retained by the transferee. Note: to be retained by the transferee.
