COUNTERFOIL

DUPLICATE

ORIGINAL

 

THE CENTRAL SALES TAX

THE CENTRAL SALES TAX

THE CENTRAL SALES TAX

(Registration & Turnover) RULES, 1957

(Registration & Turnover) RULES, 1957

(Registration & Turnover) RULES, 1957

 

 

 

FORM ‘F’1

FORM ‘F’1

FORM ‘F’1

 

 

 

Form of Declaration to be issued

Form of Declaration to be issued

Form of Declaration to be issued

by the transferee

by the transferee

by the transferee

[See Rule 12(5)]

[See Rule 12(5)]

[See Rule 12(5)]

 

 

 

Serial No. .................................................

Serial No. ...............................................….

Serial No. ...............................................….

Name of issuing State……………………………..................…

Name of issuing State…………….......……

Name of issuing State…………….......……

Office of issue ………………………………

Office of issue ……………………………..

Office of issue ……………………………..

Date of issue ………………………………......

Date of issue ………………………………......

Date of issue ………………………………......

Name and address of the person to whom issued along with his Registration Certificate No.

………………………………………………………

……………………………………………………..

Name and address of the person to whom issued along with his Registration Certificate No.

………………………………………………………

……………………………………………………..

Name and address of the person to whom issued along with his Registration Certificate No.

………………………………………………………

……………………………………………………..

Date from which registration is valid……....................

Date from which registration is valid……....................

Date from which registration is valid…….................

 

Name of the Issuing Authority

 

 

Name of the Issuing Authority

 

 

Name of the Issuing Authority

 

 

 

 

To 

To 

To 

................................................... (Transferor)

................................................... (Transferor)

................................................... (Transferor)

Registration Certificate No. of Transferor

……………………………………………………..

…………………………………………………….

Registration Certificate No. of Transferor

……………………………………………………..

…………………………………………………….

Registration Certificate No. of Transferor

……………………………………………………..

…………………………………………………….

Certified that the goods transferred to me/us as per details below have been received and duly account for. 

Certified that the goods transferred to me/us as per details below have been received and duly account for. 

Certified that the goods transferred to me/us as per details below have been received and duly account for. 

Description of goods sent.

…………………………………………………..

………………………………………………….

Description of goods sent.

…………………………………………………..

………………………………………………….

Description of goods sent.

…………………………………………………..

………………………………………………….

Quantity or weight. ............................................

Quantity or weight. ............................................

Quantity or weight. ............................................

Value of the goods .............................................

Value of the goods .............................................

Value of the goods .............................................

Number and date of invoice [or challan2 or any other documents under which goods were sent.] 

Number and date of invoice [or challan2 or any other documents under which goods were sent.] 

Number and date of invoice [or challan2 or any other documents under which goods were sent.] 

Name of Railway, Steamer or Ferry Station or Air Port   or Post Office or Road Transport Company's office from where the goods were despatched

……………………………………………………………

……………………………………………………………

Name of Railway, Steamer or Ferry Station or Air Port   or Post Office or Road Transport Company's office from where the goods were despatched

……………………………………………………………

……………………………………………………………

Name of Railway, Steamer or Ferry Station or Air Port   or Post Office or Road Transport Company's office from where the goods were despatched

……………………………………………………………

……………………………………………………………

No. and date of Railway Receipt or Postal Receipt or goods Receipt   with    trip    sheet   of lorry or any other documents indicating the means of transport

…………………………………………………………….

 

No. and date of Railway Receipt or Postal Receipt or goods Receipt   with    trip    sheet   of lorry or any other documents indicating the means of transport

…………………………………………………………….

 

No. and date of Railway Receipt or Postal Receipt or goods Receipt   with    trip    sheet   of lorry or any other documents indicating the means of transport

…………………………………………………………….

 

Date     on     which     delivery     was     taken     by      the
transferee

…………………………………………………………….

Date     on     which     delivery     was     taken     by      the
transferee

…………………………………………………………….

Date     on     which     delivery     was     taken     by      the
transferee

…………………………………………………………….

The above statements are true to the best of my knowledge
and belief

……………………………………………………………

The above statements are true to the best of my knowledge
and belief

……………………………………………………………

The above statements are true to the best of my knowledge
and belief

……………………………………………………………

(Signature)

(Signature)

(Signature)

(Name of the person signing the declaration)

(Name of the person signing the declaration)

(Name of the person signing the declaration)

*(Status of the person signing the declaration in relation to the transferee). 

 

*(Status of the person signing the declaration in relation to the transferee). 

 

*(Status of the person signing the declaration in relation to the transferee). 

 

*(Status of the person signing the declaration in relation to the transferor). 

 

*(Status of the person signing the declaration in relation to the transferor). 

 

*(Status of the person signing the declaration in relation to the transferor). 

 

Date ..............................................

Date ..............................................

Date ..............................................

** Strike out whichever is not applicable.

** Strike out whichever is not applicable.

** Strike out whichever is not applicable.

(Note: - To be retained by the transferee).

(Note: - To be retained by the transferee).

(Note: - To be furnished to the assessing authority in accordance with the rules framed under section 13(4) (e).]

1.  

Substituted   by GSR 56-E dated 9-2-73  (w.e.f. 1-4-73) published in Part-II Section 3 (1) of the Gazette of India Extraordinary dated         9-2-73. 

1.

Substituted   by GSR 56-E dated 9-2-73  (w.e.f. 1-4-73) published in Part-II Section 3 (1) of the Gazette of India Extraordinary dated         9-2-73. 

1.

Substituted   by GSR 56-E dated 9-2-73  (w.e.f. 1-4-73) published in Part-II Section 3 (1) of the Gazette of India Extraordinary dated         9-2-73. 

2.   

Inserted by GSR 519-E dated 13-12-73 published in        Part-II, Section   3 (1) of    the Gazette of India Extraordinary dated       13-12-1973.

2.

Inserted by GSR 519-E dated 13-12-73 published in        Part-II, Section   3 (1) of    the Gazette of India Extraordinary dated       13-12-1973.

2.

Inserted by GSR 519-E dated 13-12-73 published in        Part-II, Section   3 (1) of    the Gazette of India Extraordinary dated       13-12-1973.