FORM XL TRIPURA VALUE ADDED TAX ACT, 2004 Declaration in respect of Manager or other officers / charge of Manager or other Officers under sub-section (1) of section 54 of the Tripura VAT Act read with rule 17(2) (g) of the Tripura VAT Rules. To The Superintendent of Taxes Charge ___________ In accordance with the provisions of section 54(1) of the Tripura Value Added Tax Act, 2005 read with Rule 17(2) (g) of the Tripura Value Added Tax Rules, 2005, I / We hereby declare that the person detailed below has been appointed as (designation) __________________ of this firm. 1. Name & address of the dealer ________________ 2. Taxpayer's Identification number ________________ 3. Details of the person appointed as (designation) ________________ (a) Name (in block letters) ________________ (b) Father's Name ________________ (c) Age ___________Sex (M/F) ___________ Nationality __________ (d) Present address _________________________________________ (e) Permanent address _______________________________________ (f) Date of appointment _______________________________________ (g) Signature of the person appointed ____________________________ Date .................. Signature of the Tax Payer or Authorized signatory.
