FORM
33
[SEE RULE 27(1)(iv)]
DECLARATION
1. I
.
a dealer holding registration certificate No
..
and recognition certificate No.
.
under the Chhattisgarh Commercial Tax Act, 1994 hereby declare that
I have purchased goods the particulars of which are given below,
from Shri
a dealer holding registration certificate No
..
under the said Act.
2. I further declare that
(a) The goods purchased are for consumption or use as raw
material/*for use as incidental goods by me in the manufacture of
taxable goods for sale by me in the state of Chhattisgarh or in the
course of inter-State trade or commerce or in the course of export
out of the territory of India.
(b) The said goods are specified as raw material/* incidental
goods in my registration certificate and recognition certificate;
and
(c) My said registration certificate/and recognition certificate
was in force on the date of purchase of the aforesaid goods.
PARTICULARS OF GOODS PURCHASED
Particulars of Purchase
Order/Bill/Invoice/Cash
Memo/Chalan |
Description of goods Purchased |
Quantity |
Value
(Rs. - P.) |
(1) |
(2) |
(3) |
(4) |
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Total value (in figures) Rs.
..
(in words) Rs
..................................
.
only.
Place :
.....
Date :
.
Signature of the Dealer
*Strike out whichever is not applicable. |