Download Form of Declaration to be filed by a Registered Dealer along with Form RT-I

Form D-XI Sl No.: Form of Declaration under section 15(5) of the Bihar Value Added Tax Act, 2005. [See Rule 19(3A)] COUNTERFOIL (To be retained by the selling dealer) Book No. .......................................... Serial No. ........................................... I/We ............................................................................................................................... ............................................................................... (name and style of business), Taxpayer Identification No. ...................................................................... do hereby declare that I/We have sold ........................................... (goods) the details whereof are given below to M/s. ........................................... ...................................................................................................................................... of (full address) bearing TIN .......................................................... Period (Quarter): .................................................................................................. * Gross Values of Goods Sold Rs. ............................................. * Debit Notes Issued Rs. ............................................. * Credit Notes Issued Rs. ............................................. (* Attach herewith a detailed and signed statement mentioning the serial number of the document issued, date of its issue, amount for which issued and amount of tax involved separately in respect of the applicable invoices or debit notes or credit notes, as the case may be) 2. I/We further declare that the goods were subjected to tax on their maximum retail price at the point of sale in Bihar by me/us/by M/s ............................................................................................ .................................................................. (name and style) bearing Taxpayer Identification No. ................................................................). Place ............................... Dated ............................... Signature Status ...................................................................... of person signing the declaration Form D-XI Sl No.: Form of Declaration under section 15(5) of the Bihar Value Added Tax Act, 2005. [See Rule 19(3A)] ORIGINAL (To be appended to the return by purchasing dealer) Book No. .......................................... Serial No. ........................................... I/We ............................................................................................................................... ............................................................................... (name and style of business), Taxpayer Identification No. ...................................................................... do hereby declare that I/We have sold ........................................... (goods) the details whereof are given below to M/s. ........................................... ...................................................................................................................................... of (full address) bearing TIN .......................................................... Period (Quarter): .................................................................................................. * Gross Values of Goods Sold Rs. ............................................. * Debit Notes Issued Rs. ............................................. * Credit Notes Issued Rs. ............................................. (* Attach herewith a detailed and signed statement mentioning the serial number of the document issued, date of its issue, amount for which issued and amount of tax involved separately in respect of the applicable invoices or debit notes or credit notes, as the case may be) 2. I/We further declare that the goods were subjected to tax on their maximum retail price at the point of sale in Bihar by me/us/by M/s ............................................................................................ .................................................................. (name and style) bearing Taxpayer Identification No. ................................................................). Place ............................... Dated ............................... Signature Status ...................................................................... of person signing the declaration Form D-XI Sl No.: Form of Declaration under section 15(5) of the Bihar Value Added Tax Act, 2005. [See Rule 19(3A)] DUPLICATE (To be retained by the purchasing dealer) Book No. .......................................... Serial No. ........................................... I/We ............................................................................................................................... ............................................................................... (name and style of business), Taxpayer Identification No. ...................................................................... do hereby declare that I/We have sold ........................................... (goods) the details whereof are given below to M/s. ........................................... ...................................................................................................................................... of (full address) bearing TIN .......................................................... Period (Quarter): .................................................................................................. * Gross Values of Goods Sold Rs. ............................................. * Debit Notes Issued Rs. ............................................. * Credit Notes Issued Rs. ............................................. (* Attach herewith a detailed and signed statement mentioning the serial number of the document issued, date of its issue, amount for which issued and amount of tax involved separately in respect of the applicable invoices or debit notes or credit notes, as the case may be) 2. I/We further declare that the goods were subjected to tax on their maximum retail price at the point of sale in Bihar by me/us/by M/s ............................................................................................ .................................................................. (name and style) bearing Taxpayer Identification No. ................................................................). Place ............................... Dated ............................... Signature Status ...................................................................... of person signing the declaration The declaration shall be signed by the proprietor of the business, if a proprietorship, karta if an undivided Hindu family; by an authorised partner, in the case of a firm; by the managing director, managing agent, or the principal executive officer, in the case of a company, by the principal executive officer or officer incharge in the case of a society, club or association, department or local authority, or by the manager, if any declared by one of these under section 22 of the Bihar Value Added Tax Act 2005. The declaration shall be signed by the proprietor of the business, if a proprietorship, karta if an undivided Hindu family; by an authorised partner, in the case of a firm; by the managing director, managing agent, or the principal executive officer, in the case of a company, by the principal executive officer or officer incharge in the case of a society, club or association, department or local authority, or by the manager, if any declared by one of these under section 22 of the Bihar Value Added Tax Act 2005. The declaration shall be signed by the proprietor of the business, if a proprietorship, karta if an undivided Hindu family; by an authorised partner, in the case of a firm; by the managing director, managing agent, or the principal executive officer, in the case of a company, by the principal executive officer or officer incharge in the case of a society, club or association, department or local authority, or by the manager, if any declared by one of these under section 22 of the Bihar Value Added Tax Act 2005.