FORM XXVI TRIPURA VALUE ADDED TAX ACT, 2004 ( Under Rule 52(1) of TVAT Rules ) Intimation of Import of Taxable Goods. Issued to : SL Number of Form .... ________________________________________________(Name of the dealer) ________________________________________________(Address of the dealer) ________________________________________________(Taxpayer's Identification Number) Valid for transport from or across the notified station/or place, namely : _______________ To The Superintendent of Taxes/ Inspector* ______________Charge/Section* Posted on duty at the notified station or place, namely........ In accordance with the provisions of Rules 52(1) of Tripura Value Added Tax Rules, 2005, I/We* hereby intimate that the consignment detailed below is to be imported into Tripura, by Rail/Air/Road *crossing the notified area under Rule 68 of the said Rules at .........(here insert the name of the notified area). (a) Name and address of the seller from whom purchased : .............. (b) Name and address of the consignee : ............. (c) Place of Despatch : .................. (d) Destination : ..................... (e) Description of consignments Sl. No. Item Code Description Quantity & Unit Weight (Kgs) Value (Rs.) Consignor Invoice Railway Receipt/ Bill of Lading/ Air Note No. No. Date No. Date Mode of transport : ....................... Transporter : ............................. I/We hereby declare that I/We* am/are* a registered dealer under Tripura Value Added Tax Act, 2005 holding Taxpayer's Identification Number as mentioned and the above statements are true to the best of my/our* knowledge and belief. I/We* also undertake to duly account for to you the disposal of the above goods and to pay tax on the sales thereof in accordance with the provision of the said Act. Name of the dealer (in full) : ............................. Signature Of the Applicant : ........................ Date..... Status of the applicant : ........................ CHECK POST PERMIT Checkpost Permit No. : _____________ I hereby permit to transport the consignment detailed above cross the barrier Date : .............. Officer-in-Charge Choraibari Checkpost SEAL
