FORM ST. XVII-C (See rule 48) CERTIFICATE TO BE FURNISHED BY A DEALER FOR CLAIMING EXEMPTION UNDER SUB-SECTION 2(a)(ii) OF SECTION 5 OF THE PUNJAB GENERAL SALES TAX ACT, 1948, IN RESPECT OF PURCHASES OR SALES OF DECLARED GOODS. Book No. _______________ Serial No. __________________ Date of issue ____________ (Seal of Issuing Authority) Name of the dealer with registration certificate No. ________________ I/We ________________________ (Full address __________________) holder of registration certificate No. ______________________ dealer in ________________________ (Specify the nature of goods) have sold __________________ (goods)___________________ (quantity) for Rs. _____________________ (value) to M/s. _____________________________ (full address with registration certificate No.) vide my/ our sale/ delivery note No. ___________ dated __________ 2. (*) I/We have paid/shall pay tax in the State under the Punjab General Sales Tax Act, 1948, in respect of above goods. OR (*) The tax due in respect of goods mentioned in paragraph _______________________ has already been paid by M/s. _____________________________________ (Full address) who are registered dealers in the State holding registration certificate No. ________________ and from whom these were purchased initially, vide their sale/delivery note No. _____________________ dated ________________ for Rs. ___________________________ Place _____________ Full signature of the selling dealer or his authorised agent. Date ______________ (*) Strike out whatever not applicable.
