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Entry Form XXIV

FORM 24

[See rule 12(1)(b)]

Declaration to be furnished by a dealer in respect of

goods mentioned in First Schedule sold by him to

another dealer in the State.

 

(1)

I/We ....................................... being a registered dealer holding Registration Certificate No. .................. dated ............... under the GTEG Act, 2000 and carrying on business in the name and style of .............................. at ........................... (full address) have sold ............................... (quantity) of .................. (description of goods) for Rs............... to M/s. ........................... (name with full address) in my/our Bill No............... dated ............

 

(2)

I/We have caused entry of the above goods in to the ............ local area ........................ (name of the local area) and I am/we are liable to tax under GTEG Act, 2000 and we shall pay the same.

*I/We have purchased the above goods from M/s. ................... ..................................................................... (name with full address) having Registration Certificate No..................... vide their sale bill No. ............ dated .........and the said dealer has stated that he/his seller would be liable to pay tax on the said goods purchased by me, and I am/we are not liable to tax under the GTEG Act, 2000 in view of the declaration furnished by them.

 

(3)

I am/we are on the rolls of .............................. (specify assessing authority).

 

 

Place:

Date :

Signature Name of the Signatory

Proprietor/Partner/Manager/

Director.

 

*Strike out whichever is not applicable

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