Amendment status not verified — confirm the current text below against the official source.
Please pay to. ............................................. the sum of Rs. ........................... (in words) Seal Date.............................PIace...................... ......................................................Superintendent Challan No. and date Original payment. Received payment pay Rupees. ............. only. Signature of Superintendent. Claimant‘s signature Treasury Officer-in-charge of the Sub-Treasury Signature of receipient of the voucher ............. The....................20........ Examined The..........20..... Date of encashment Accountant. 213 Charge : FORM XXII TRIPURA VALUE ADDED TAX ACT, 2004 REFUND REGISTER (Under Rule 38(1) of TVAT Rules) Financial Year : SI.No. Dealer‘s TIN, Name & Address Tax period in respect of which refund Amount of refund Claimed Amount of refund Allowed Refund Voucher No. & date Refund set off against other demands Officer who allowed the refund Remarks 214 FORM XXIII TRIPURA VALUE ADDED TAX ACT, 2004 REGISTER OF PROSECUTION ( Under Rule 39 of TVAT Rules) Circle ...................................................................................... Serial No. Year Name of dealer address Date of prosecution of issue of notice thereof Nature of offence Result Amount of Composition money realised. If any and the date of realisation Remarks 1 2 3 4 5 6 7 8 9 215 216 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, 2005,1 / 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 SI. No. Item Code Description Quantity & Unit Weight (Kgs) Value (Rs.) Consignor Invoice Railway Receipt/ Bill of Lading/ Air Note No. Date No. Date Total value Rs...........................................(Rupees. ........................................................ (in words) (12) Remarks (if any) : .................................................................................................. I/We hereby declare that I/We am/are registered under Tripura Value Added Tax Act, 2004, holding Taxpayer‘s Identification No. .................................. and the above statements are true to the best of my/our knowledge and belief. 217 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 : ................................................................. * Strike out which is not applicable. PERMIT No. : hereby permit to take delivery / transport the consignment detailed above. Seal Signature of the Superintendent of Taxes. Date: Circle..................................................... 218 FORM XXV TRIPURA VALUE ADDED TAX ACT, 2004 DECLARATION OF TAXABLE GOODS CARRIED BY TRANSPORTERS ( Under Rule 49(1) of TVAT Rules ) SI. Number of Form ............... To The Officer-in-Charge Checkpost. In accordance with the provision of section 67(2) of the TVAT Act, 2004 read with rule 49(1) of TVAT Rules, 2005 I/We hereby declare thai the consignment, whose detail is given over leaf, is being imported into/exported out of Tripura, by Road/Rail/Air/Steamer.