COUNTERFOIL
DUPLICATE
ORIGINAL
THE CENTRAL SALES TAX (REGISTRATION AND TURNOVER) RULES, 1957
THE CENTRAL SALES TAX (REGISTRATION AND TURNOVER) RULES, 1957
THE CENTRAL SALES TAX (REGISTRATION AND TURNOVER) RULES, 1957
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1
[FORM C
1
[FORM C
[FORM C
FORM OF DECLARATION [See rule 12(1)]
FORM OF DECLARATION [See rule 12(1)]
FORM OF DECLARATION [See rule 12(1)]
Name of issuing State ______________________________________
Name of issuing State ______________________________________
Name of issuing State ______________________________________
Office of issue _____________________________________________
Office of issue _____________________________________________
Office of issue _____________________________________________
Date of issue _____________________________________________
Date of issue _____________________________________________
Date of issue _____________________________________________
Name of the purchasing dealer to whom issued along with his Registration Certificate
Name of the purchasing dealer to whom issued along with his Registration Certificate
Name of the purchasing dealer to whom issued along with his Registration Certificate
No _______________________________________
No _______________________________________
No _______________________________________
Date from which registration is valid ______________________
Date from which registration is valid ______________________
Date from which registration is valid ______________________
Serial No _________________________________
Serial No _________________________________
Serial No _________________________________
Seal of Issuing Authority
Seal of Issuing Authority
To
To
To
*(Seller)
*(Seller)
Certified that the goods
Certified that the goods
1
1
[**Ordered
Seal of Issuing Authority
for
in
our
purchase
Order
No.
[**Ordered
for
*(Seller) Certified that the goods
in
our
purchase
Order
No.
1
[**Ordered
for
in
our
purchase
Order
No.
________________ dated ________________ and supplied as
________________ dated ________________ and supplied as
________________ dated ________________ and supplied as
per Bill/Cash memo/ 2[challan No ___________________ dated
per Bill/Cash memo/ 2[challan No ___________________ dated
per Bill/Cash memo/ 2[challan No ___________________ dated
____________________ as stated below *** purchased from you as
____________________ as stated below *** purchased from you as
____________________ as stated below *** purchased from you as
per Bill/Cash Memo/] Challan No ___________________ dated
per Bill/Cash Memo/] Challan No ___________________ dated
per Bill/Cash Memo/] Challan No ___________________ dated
_________________ as stated below*** supplied under your challan
_________________ as stated below*** supplied under your challan
_________________ as stated below*** supplied under your challan
No _______________ dated ______________ are for **
No _______________ dated ______________ are for **
No _______________ dated ______________ are for **
resale
resale
resale
use in manufacture/processing of goods for sale use in mining
use in manufacture/processing of goods for sale use in mining
use in manufacture/processing of goods for sale use in mining
use in generation/distribution of power
use in generation/distribution of power
use in generation/distribution of power
1. Ins. by S.R.O. 896, dated 23rd September, 1958 (w.e.f. 1-10-1958). 2. Ins. by G.S.R. 962 (E), dated 30th December, 1976.
packing of goods for sale/resale and are covered by m y/our
packing of goods for sale/resale and are covered by my /our
packing of goods for sale/resale and are covered by m y/our
regist ration
registr ation
r egist ration
c ertific ate
No
____ ___ __ _____ ___ _
dated
c ertificate
No
____ ___ __ _____ ___ _
dated
c ertific ate
No
____ ___ __ _____ ___ _
dated
__________________ issued under the Central Sales Tax Act, 1956.
__________________ issued under the Central Sales Tax Act, 1956.
__________________ issued under the Central Sales Tax Act, 1956.
(a) ** It is further certified that I/We am/are not ed
(a) ** It is further certified that I/We am/are not ed
(a) ** It is further certified that I/We am/are not ed
under section 7 of the said act in the State of...in which the goods
under section 7 of the said act in the State of...in which the goods
under section 7 of the said act in the State of...in which the goods
covered by this Form are/will be delivered.
covered by this Form are/will be delivered.
covered by this Form are/will be delivered.
Name and address of the purchasing dealer in
Name and address of the purchasing dealer in
Name and address of the purchasing dealer in
Full _______________________________________________________
Full _______________________________________________________
Full _______________________________________________________
Date ________________________________
Date ________________________________
Date ________________________________
1
1
1
[The above statements are true to the best my knowledge and, belief]
[The above statements are true to the best my knowledge and, belief]
(Signature)
[The above statements are true to the best my knowledge and, belief]
(Signature)
(Signature)
(Name of the person g the declaration.)
(Name of the person g the declaration.)
(Name of the person g the declaration.)
(Status of the person g the declaration in relation to the dealer)
(Status of the person g the declaration in relation to the dealer)
(Status of the person g the declaration in relation to the dealer)
2
2
2
[Name and address of the seller with name of the State.
[Name and address of the seller with name of the State.
[Name and address of the seller with name of the State.
** Strike out whichever is not applicable.
** Strike out whichever is not applicable.
** Strike out whichever is not applicable.
*** Particulars of Bill/Cash Memo/Challan
*** Particulars of Bill/Cash Memo/Challan
*** Particulars of Bill/Cash Memo/Challan
Date _________________________ No ________________________
Date _________________________ No ________________________
Date _________________________ No ________________________
Amount ___________________________________
Amount ___________________________________
Amount ___________________________________
(Note.—To be retained by the purchasing dealer.)
(Note.—To be retained by the purchasing dealer.)
(Note.— To be furnished to the prescribed authority in accordance with the rules framed under section 13 (4) (e) by the appropriate State Government.)
1. Subs, by G.S.R. 55 (E), dated 9th February, 1973 (w.e.f. 1-4-1973). 2. Ins. by G.S.R. 26 (E), dated 1st February, 1974.