FORM XXV TRIPURA VALUE ADDED TAX ACT, 2004 DECLARATION OF TAXABLE GOODS CARRIED BY TRANSPORTERS ( Under Rule 49(1) of TVAT Rules ) Sl. Number of Form ................... To The Officer-in-Charge _________________ Checkpost. In accordance with the provision of section 67(2) of the TVAT Act, 2005 read with rule 49(1) of TVAT Rules, 2005 I/We hereby declare that the consignment, whose detail is given over leaf, is being imported into/exported out of Tripura, by Road/Rail/Air/Steamer. 1. Registration Number of the Transporter : _________________ 2. Whether consignment is imported into / : Import / Export exported out of Tripura 3. Place of Despatch : _________________ 4. Destination : _________________ 5. Lorry Number : _________________ 6. Manifest Number : _____________ and date : _________________ (If goods are sent out side the State indicate Permit No. :_________________ the Permit No. and date authorising such Date :_____________ export under Rule 54(6) Form XXVII Serial No. : __________ i) I/ We hereby declare that the above statements are true to the best of my/ our knowledge. ii) I/ We also undertake to duly account for the transport of above goods and its delivery to registered dealer on the basis of permit issued by the Superintendent of Taxes according to provisions of the Tripura Value Added Tax Act, 2005. Name in Full of the Transporter : __________________________ Address : ____________________________________________ Signature and Status of the Applicant : _____________________ CHECK POST PERMIT Checkpost Permit No. : _____________________ I hereby permit to transport the consignment detailed above across the barrier. Seal Officer-in-charge date :__________ CONSIGNMENT DETAILS Sl. No. Consignment Note Consignor Consignee Item Code Description Number Weight Value Verification Number Date Name Invoice No. Invoice Date Dealer Regn No. Name Pkgs Units Code * Remarks 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 Code* : V - Verified , S - Seized Signature and Status of the Applicant with Seal
