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Entry Form XXVI

FORM 26

[See rule 27 (5) (b)]

Entry tax paid Certificate

 

Sl. No.

Office of the

(notified authority)

 

This is to certify that entry tax payable under Section 10 of the Goa Tax on Entry of Goods Act, 2000 in respect of the motor vehicle imported from outside the State of Goa described below has been paid vide Challan No. ............ dated ............... by the importer of the Motor Vehicle No. ..............., who has imported the Motor Vehicle not for sale within the local area but for own use.

OR

This is to certify that the importer of below described Motor Vehicle Shri .............................. is a registered dealer under the Goa Tax on Entry of Goods Act, 2000 with Registration No. ............ has paid entry tax payable under Section 10 in respect of the Motor Vehicle imported from outside the State of Goa described below vide Challan No............... dated .....................

 

Class of Motor Vehicle

Model

Engine No.

Chassis No.

(1)

(2)

(3)

(4)

 

 

 


 


 


 


 

Place:

Date :

 

Signature and seal of the

Notified Authority.

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