Counter foil Form VAT - 47 [See rule 53(1)] DECLARATION FOR IMPORTS BY REGISTERED DEALER [To be filled in ink] Seal of Issuing Authority Form No. Name of the office of issue Date of issue Valid upto .................. DD MM YYYY To The In-charge Check-Post Declared and certified that the goods, particulars of which are given below, have been imported by me / us from outside the State for purposes mentioned in rule 53, and hold myself / ourselves liable for payment of tax as per law to the Government. Part -A (To be filled in by the Consignee) 1. Name of Consignor Registration Number (TIN) Address Bldg. No/ Name/ Area Town/City District (State) 2. Name of Consignee Registration Number (TIN) 3. Nature of the transaction- Tick appropriate box For Consignment sale Stock/Depot/Branch Transfer Inter-State purchase Any other nature. Please Describe Declaration I , (Proprietor/Partner/ Director/Karta/Business Manager) declare that the facts stated above in PART-A are true to the best of my knowledge and belief and nothing has been concealed. I also undertake the responsibility to get filled up PART-B from the consignor and PART- C from the Transporter. Place: Signature of Consignee Date: Name Status with seal PART - B (To be filled in by the consignor or person authorised) 1. Invoice No. / Bill No./ dispatch memo No. 2. Date of. Invoice / Bill ./ dispatch memo (DD / MM / YYYY) 3. Value / estimated value of goods in Rs.(In figures) (In words) 4. Name of Commodity 5. No, of Packages/ quantity weight Place : Signature of Consignor or person authorised Date : Name Status with seal PART - C (To be filled in by the Transporter) 1. Name and Address of the Transport Co. 2. GR (Bilty) No.& Date 3. Registration No. of the vehicle Place : Signature Date : Name Status JanPunch Month of Use Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec P unch V alue upto R s. in lacs 1 2 3 4 5 6 7 8 9 10 30 40 50 60 70 80 90 100 20 A bove 100 Duplicate/Original Form VAT - 47 [See rule 53(1)] DECLARATION FOR IMPORTS BY REGISTERED DEALER [To be filled in ink] Seal of Issuing Authority Form No. Name of the office of issue Date of issue Valid upto .................. DD MM YYYY To The In-charge Check-Post Declared and certified that the goods, particulars of which are given below, have been imported by me / us from outside the State for purposes mentioned in rule 53, and hold myself / ourselves liable for payment of tax as per law to the Government. Part -A (To be filled in by the Consignee) 1. Name of Consignor Registration Number (TIN) Address Bldg. No/ Name/ Area Town/City District (State) 2. Name of Consignee Registration Number (TIN) 3. Nature of the transaction- Tick appropriate box For Consignment sale Stock/Depot/Branch Transfer Inter-State purchase Any other nature. Please Describe Declaration I , (Proprietor/Partner/ Director/Karta/Business Manager) declare that the facts stated above in PART-A are true to the best of my knowledge and belief and nothing has been concealed. I also undertake the responsibility to get filled up PART-B from the consignor and PART- C from the Transporter. Place: Signature of Consignee Date: Name Status with seal PART - B (To be filled in by the consignor or person authorised) 1. Invoice No. / Bill No./ dispatch memo No. 2. Date of. Invoice / Bill ./ dispatch memo (DD / MM / YYYY) 3. Value / estimated value of goods in Rs.(In figures) (In words) 4. Name of Commodity 5. No, of Packages/ quantity weight Place : Signature of Consignor or person authorised Date : Name Status with seal PART - C (To be filled in by the Transporter) 1. Name and Address of the Transport Co. 2. GR (Bilty) No.& Date 3. Registration No. of the vehicle Place : Signature Date : Name Status Punch Date of Use 1 2 3 4 5 6 7 8 9 10 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 11
