Form VAT - 48 [See rule -19(3)(d) & 53(5)] STATEMENT OF IMPORT/USED FORM VAT-47 (All the entries should be filled in capital letters) Assessment Year Registration No. (TIN) Quarter to which statement relates: First Second Third Fourth 1. Name of Dealer 2. Address Bldg. No/Name/ Area Town/City District (State) Pin Code Email Id Telephone Number(s) FAX No. S. Dealer / person from Serial No. of No.whom Goods purchased/ received Particulars of goods imported used form Name & Reg. No. Invoice/ Date. Name of Goods Value VAT-47 Address (TIN) challan No. (in Rs.) Place : Signature Date : Name : Status : Verification I verify that the facts stated above are true to the best of my knowledge and belief and nothing has been concealed. Place : Signature Date : Name : Status : ACKNOWLEDGEMENT Received from M/s _____________________________________________________________ Registration No.(TIN) Form VAT-47 for the quarter____________ Serial No. of Receipt Register Signature of Receiving Official with date & seal of office
