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7/25/2019 VAT-47
1/2
Counter foil
Form VAT - 47
[See rule 53(1)]
DECLARATION FOR IMPORTS BY REGISTERED DEALER[To be filled in ink] Seal of Issuing Authority
Form No.
Name of the office of issue
Date of issue
Valid upto .................. DD MM YYYY
To
The In-charge Check-Post
Declared and certified that the goods, particulars of which are given below, have been imported by me
/ us from outside the State for purposes mentioned in rule 53, and hold myself / ourselves liable for
payment of tax as per law to the Government.
Part -A (To be filled in by the Consignee)
1. Name of Consignor
Registration Number (TIN)
AddressBldg. No/ Name/ Area
Town/City
District (State)
2. Name of Consignee
Registration Number (TIN)
3. Nature of the transaction- Tick appropriate box
For Consignment sale Stock/Depot/Branch Transfer Inter-State purchase
Any other nature. Please Describe
Declaration
I , (Proprietor/Partner/Director/Karta/Business Manager) declare that the facts stated above in PART-A are true to the best of
my knowledge and belief and nothing has been concealed. I also undertake the responsibility to get
filled up PART-B from the consignor and PART- C from the Transporter.
Place: Signature of Consignee
Date: Name
Status with seal
PART B(To be filled in by the consignor or person authorised)
1. Invoice No. / Bill No./ dispatch memo No.
2. Date of. Invoice / Bill ./ dispatch memo (DD / MM / YYYY)
3. Value / estimated value of goods in Rs.(In figures)
(In words)
4. Name of Commodity
5. No, of Packages/ quantity weight
Place : Signature of Consignor or person authorised
Date : Name
Status with seal
PART C(To be filled in by the Transporter)
1. Name and Address of the Transport Co.
2. GR (Bilty) No.& Date
3. Registration No. of the vehicle
Place : Signature
Date : Name
Status
7/25/2019 VAT-47
2/2
JanPunch Month ofUse
Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
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nchValue
upto
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lacs
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7
8
9
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Above100
Duplicate/Original
Form VAT - 47
[See rule 53(1)]
DECLARATION FOR IMPORTS BY REGISTERED DEALER[To be filled in ink] Seal of Issuing Authority
Form No.
Name of the office of issue
Date of issueValid upto .................. DD MM YYYY
To
The In-charge Check-Post
Declared and certified that the goods, particulars of which are given below, have been imported by me
/ us from outside the State for purposes mentioned in rule 53, and hold myself / ourselves liable for
payment of tax as per law to the Government.
Part -A (To be filled in by the Consignee)
1. Name of Consignor
Registration Number (TIN)
Address
Bldg. No/ Name/ Area
Town/City
District (State)
2. Name of Consignee
Registration Number (TIN)
3. Nature of the transaction- Tick appropriate box
For Consignment sale Stock/Depot/Branch Transfer Inter-State purchase
Any other nature. Please Describe
Declaration
I , (Proprietor/Partner/
Director/Karta/Business Manager) declare that the facts stated above in PART-A are true to the best of
my knowledge and belief and nothing has been concealed. I also undertake the responsibility to get
filled up PART-B from the consignor and PART- C from the Transporter.
Place: Signature of Consignee
Date: Name
Status with seal
PART B(To be filled in by the consignor or person authorised)
1. Invoice No. / Bill No./ dispatch memo No.
2. Date of. Invoice / Bill ./ dispatch memo (DD / MM / YYYY)
3. Value / estimated value of goods in Rs.(In figures)
(In words)
4. Name of Commodity
5. No, of Packages/ quantity weight
Place : Signature of Consignor or person authorised
Date : Name
Status with seal
PART C(To be filled in by the Transporter)
1. Name and Address of the Transport Co.
2. GR (Bilty) No.& Date
3. Registration No. of the vehicle
Place : Signature
Date : Name
Status
Punch
Date
of
Use
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910
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2930
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