FORM XXIV TRIPURA VALUE ADDED TAX ACT, 2004 ( Under Rule 48 and 51 of TVAT Rules ) SL. Number of Form ..... To The Superintendent of Taxes __________ Charge In accordance with the provisions of Rules 48 and 51 of Tripura Value Added Tax Rules, 2005, I / We* hereby declare that the consignment detailed below is being imported into Tripura, by Rail/Air/Steamer and apply for a permit to transport the same by road/by boat from the railway stations/steamer station/post office/air port mentioned below :- (1) Name and address of seller from whom purchased : ................................ (2) Name and address of the consignee : ................................ (3) Place of Despatch : ................................ (4) Name of railway station/ steamer station/ post office/ : ................................ air port from where delivery will be taken (5) Destination : ................................ (6) Description of consignments Sl. No. Item Code Description Quantity & Unit Weight (Kgs) Value (Rs.) Consignor Invoice Railway Receipt/ Bill of Lading/ Air Note No. Date No. Date (12) Remarks (if any) : ............................ I/We hereby declare that I/We am/are registered under Tripura Value Added Tax Act, 2005, holding Taxpayer's Identification No............ 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 when imported and to pay tax on the sales thereof according to provisions of the said Act and the Rules made thereunder. Name of the dealer in full : ................ Address : ............................. Signature and status of the applicant : .................................. PERMIT No. : ___________________ I hereby permit to take delivery / transport the consignment detailed above. Seal Signature of the Superintendent of Taxes. Date : ___________ Circle..............
