FORM VAT - 50 [See rule -19(3)(f) & 54(2)] STATEMENT OF INTER-STATE SALES/USED FORM VAT-49 (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. 3. Details of Goods sold / Dispatched S. Dealer / person to whom Serial No. of No. goods sold/ dispatched Particulars of goods sold or dispatched used form Name & Reg. No. No. of Date. Name of Goods Value/ VAT-49 Address (TIN) Invoice/ Estimated Challan value (in Rs.) Place : Signature Date : Name : Status : Declaration I declare 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-49 for the quarter ____________ with enclosures mentioned therein. Serial No. Receipt Register Signature of Receiving Official with date & seal of office %
