FORM XXXVII TRIPURA VALUE ADDED TAX ACT, 2004 PURCHASE STATEMENT (Under Rule 16(7) of TVAT Rules) 1. Charge : ____________ Tax Period : Month/Quarter :_________Year : _________ 2. Dealer's TIN: _________________________________ 3. Name of the Dealer : _____________________________________ 4. Address : ______________________________________________ 5. Details of Purchase of Taxable Goods Sl. No. Seller's TIN Seller's Name Purchase of goods for ______ Purchase of capital goods Total Invoice Involved Amount Excluding VAT VAT For Office Use (Detail of Tax Credit Payable To the Dealer) No. of Installments Installment Amount Total Date___________ (Signature of the Dealer or Authorised Person)
