FORM XXXII-F

(Transport Receipt)

(See Rule 94-D)

From ……………………. To ……………………Date ………………………………

Consignor with complete address and Registration Certificate No.

Under O.S.T. Act, 1947 and under C.S.T.Act, 1956, if any. _________________________

Consignee with complete address and Registration Certificate No.

Under O.S.T. Act, 1947 and under C.S.T. Act, 1956, if any. _________________________

No. of packing

Method of packing Contents as declared Value Private marks, if any Weight

Rate

Rs…….

Total Freight

Rs…….

Freight paid/to pay

Rs……..

Remarks

Actual

Q/Kgs.

Charged

Q/Kgs.

                     
                     

Signature of the Manager/Booking Clerk

Name of the Transport Company/Booking Agency

FORM XXXII-T

TRANSIT PASS

(See Rule 94-C)

  Name & address of the first check-post  
1 Time & date of Entry  
2 Registration number of the goods vehicle  
3 Destination

(Place & State)

 
4 Description of the goods  
5 Value of goods (in Rs.)  
6 Name, address & Registration Certificate No. (if any) of Consigner  
7 Name, address & Registration Certificate No. (if any) of the Consignee  
8 Name of the Transport agency (if any)  

DECLARATION

I declare that the information furnished is true and complete to the best of my knowledge and belief. I further declare that the goods under transport shall not be unloaded, delivered or sold in the State and shall exit through ___________ check-post/ barrier of the State on likely date ____________ and time ________________.

SIGNATURE

Name & Status

(Signature with Seal of the Officer-in-charge of the first check post)

 

FORM XXXIII

Declaration of Transport

(See Rule 94 –B)

To

The Sales Tax Officer,

The Assistant Sales Tax officer………………..Circle

In accordance with the provisions of rule-94-B of the Odisha Sales Tax Rules, 1947, I/We hereby declare that the following Consignment of …………………….is to be transported by me/us from the ………………railway station/steamer station/air post/post office.

  1. Name and address of the seller from whom purchased.
  2. Name and address of the consignee (with registration certificate No, if any)
  3. Place of dispatch
  4. Destination
  5. Description of consignment
  6. Quantity
  7. Weight
  8. Value
  9. Consignor’s invoice number and date
  10. Mode of transport
  11. Railway receipt or bill of lading or air note number or the other document with its number required for the purpose of obtaining delivery of such consignment.
  12. Remarks (if any)

I / We hereby declare that I/We under the Odisha Sales Tax Act, 1947 and the above statement are true and correct to the best of my/our knowledge and belief.

Name of the person making the declaration in full……………………………

Address……………………………………………………………………

Registration No. if registered…………………………………..

Signature and status of the person (making the declaration)

 

FORM XXXIV

 

DUPLICATE

To be furnished to the Sales Tax Officer who issued to the forms

DECLARATION FORM

FORM XXXIV

(See Rule 27 (2) Serial No….

Name of the Issuing Circle………..

Date of Issue………………………

Name of the Purchasing dealer…..

Registration Certificate No. of the Purchasing dealer…………………

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

(To be filled by the Officer/issuing Form)

Signature and seal of the

Issuing authority

____________________________

To

…………………………. (Seller)

……………………(Address in full)

R.C.No…………………………………….

Certified that the goods ordered in my/our purchased from you as per Cash Memo./Bill No………. dated the …….for an amount of Rs…….. are meant for the purpose of resale in Odisha [in a manner that such resale shall be subject to levy tax under this Act) and are recovered by my our registration Certificate No………… issued under the Odisha Sales Tax Act, 1947.

(To be filled by the dealer issuing the Form for purchase of goods

Signature

(Name and status of person signing)

ORIGINAL

To be furnished to the selling dealer

DECLARATION FORM

FORM XXXIV

[See Rule 27 (2)]

Name of the Issuing Circle………..

Date of Issue………………………

Name of the Purchasing dealer…..

Registration Certificate No. of the Purchasing dealer…………………

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

(To be filled by the Officer/issuing Form)

Signature and seal of the

Issuing authority

________________________________

To

…………………………. (Seller)

……………………(Address in full)

R.C.No……………………………

Certified that the goods ordered in my/our purchased from you as per Cash Memo./Bill No………. dated the …….for an amount of Rs…….. are meant for the purpose of resale in Odisha [in a manner that such resale shall be subject to levy tax under this Act) and are recovered by my our registration Certificate No………… issued under the Odisha Sales Tax Act, 1947.

(To be filled by the dealer issuing the Form for purchase of goods

Signature

(Name and status of person signing)

 

 

COUNTER FOIL

DECLARATION FORM

FORM XXXIV

FORM XXXII-F

(Transport Receipt)

(See Rule 94-D)

From ……………………. To ……………………Date ………………………………

Consignor with complete address and Registration Certificate No.

Under O.S.T. Act, 1947 and under C.S.T.Act, 1956, if any. _________________________

Consignee with complete address and Registration Certificate No.

Under O.S.T. Act, 1947 and under C.S.T. Act, 1956, if any. _________________________

No. of packing

Method of packing Contents as declared Value Private marks, if any Weight

Rate

Rs…….

Total Freight

Rs…….

Freight paid/to pay

Rs……..

Remarks

Actual

Q/Kgs.

Charged

Q/Kgs.

                     
                     

Signature of the Manager/Booking Clerk

Name of the Transport Company/Booking Agency

FORM XXXII-T

TRANSIT PASS

(See Rule 94-C)

 

  Name & address of the first check-post  
1 Time & date of Entry  
2 Registration number of the goods vehicle  
3 Destination

(Place & State)

 
4 Description of the goods  
5 Value of goods (in Rs.)  
6 Name, address & Registration Certificate No. (if any) of Consigner  
7 Name, address & Registration Certificate No. (if any) of the Consignee  
8 Name of the Transport agency (if any)  

DECLARATION

I declare that the information furnished is true and complete to the best of my knowledge and belief. I further declare that the goods under transport shall not be unloaded, delivered or sold in the State and shall exit through ___________ check-post/ barrier of the State on likely date ____________ and time ________________.

 

SIGNATURE

Name & Status

(Signature with Seal of the Officer-in-charge of the first check post)

 

FORM XXXIII

Declaration of Transport

(See Rule 94 –B)

To

The Sales Tax Officer,

The Assistant Sales Tax officer………………..Circle

In accordance with the provisions of rule-94-B of the Odisha Sales Tax Rules, 1947, I/We hereby declare that the following Consignment of …………………….is to be transported by me/us from the ………………railway station/steamer station/air post/post office.

  1. Name and address of the seller from whom purchased.
  2. Name and address of the consignee (with registration certificate No, if any)
  3. Place of dispatch
  4. Destination
  5. Description of consignment
  6. Quantity
  7. Weight
  8. Value
  9. Consignor’s invoice number and date
  10. Mode of transport
  11. Railway receipt or bill of lading or air note number or the other document with its number required for the purpose of obtaining delivery of such consignment.
  12. Remarks (if any)

I / We hereby declare that I/We under the Odisha Sales Tax Act, 1947 and the above statement are true and correct to the best of my/our knowledge and belief.

Name of the person making the declaration in full……………………………

Address……………………………………………………………………

Registration No. if registered…………………………………..

Signature and status of the person (making the declaration)

 

FORM XXXIV

 

DUPLICATE

To be furnished to the Sales Tax Officer who issued to the forms

DECLARATION FORM

FORM XXXIV

(See Rule 27 (2) Serial No….

Name of the Issuing Circle………..

Date of Issue………………………

Name of the Purchasing dealer…..

Registration Certificate No. of the Purchasing dealer…………………

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

(To be filled by the Officer/issuing Form)

Signature and seal of the

Issuing authority

__________________________________

To

…………………………. (Seller)

……………………(Address in full)

R.C.No…………………………………….

Certified that the goods ordered in my/our purchased from you as per Cash Memo./Bill No………. dated the …….for an amount of Rs…….. are meant for the purpose of resale in Odisha [in a manner that such resale shall be subject to levy tax under this Act) and are recovered by my our registration Certificate No………… issued under the Odisha Sales Tax Act, 1947.

(To be filled by the dealer issuing the Form for purchase of goods

Signature

(Name and status of person signing)

ORIGINAL

To be furnished to the selling dealer

DECLARATION FORM

FORM XXXIV

[See Rule 27 (2)]

Name of the Issuing Circle………..

Date of Issue………………………

Name of the Purchasing dealer…..

Registration Certificate No. of the Purchasing dealer…………………

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

(To be filled by the Officer/issuing Form)

Signature and seal of the

Issuing authority

__________________________________

To

…………………………. (Seller)

……………………(Address in full)

R.C.No…………………………………….

Certified that the goods ordered in my/our purchased from you as per Cash Memo./Bill No………. dated the …….for an amount of Rs…….. are meant for the purpose of resale in Odisha [in a manner that such resale shall be subject to levy tax under this Act) and are recovered by my our registration Certificate No………… issued under the Odisha Sales Tax Act, 1947.

(To be filled by the dealer issuing the Form for purchase of goods

Signature

(Name and status of person signing)

 

COUNTER FOIL

DECLARATION FORM

FORM XXXIV

 

FORM XXXV

Form of application for registration as authorised Sales Tax Practitioner

See Rule 96

To

The Commissioner of Sales Tax, Odisha.

I hereby apply for registration as an authorised Sales Tax Practitioner under Rule 96 of the Odisha Tax Act 1947. The following particulars are furnished herewith.

    1. Name in full (block letters ……………………………………………………...
    2. Father’s name…………………………………………………………………...
    3. Permanent residential address…………………………………………………..
    4. Present residential address……………………………………………………..
    5. Professional address(es) in India……………………………………………….
    6. Principal place of profession in India………………………………………….
    7. If partner in a firm, names of the firm, and other partners…………………….

      I certify that I have passed the .................... examination of ................ (a true copy of the certificate attached)

    8. I certify that I was an agent within the meaning of sub-clauses (iv) and (v) of clause (a) of rule 2 of the Odisha Sales Tax Rules, 1947, and was actually practising immediately before 1st April 1972 as such and some of the cases in which I appeared in that capacity are as below.

       

Name and address of assessee

Assessment year

Designation of the Sales Tax authority before whom appeared

(1)

(2)

(3)

   

I certify that I have been practising as an authorised Sales Tax Practitioner since………… and that I have not so far made any application for registration as an authorised Sales Tax Practitioner.

Verification

I ………………….do hereby declare that what is stated in the above application is true to best of my information and belief.

(Signature)

FORM XXXVII

(Form of copy of certificate)

(See Rule 97)

I ……………………….Tax Recovery Officer, do hereby certify that the document where in this endorsement is true copy of certificate No……………..dated ………….forwarded by the Sales Tax Officer against………………..(Name of the defaulter) for recovery of sum of Rs…………………………………………

I do hereby specify that out of aforesaid amount, an amount of Rs……… as noted below is to be recovered from the defaulter by the Tax Recovery Officer:-

    1. Part of certificate amounting
    2. Cost of charge
    3. Interest.

Total……………

Signature………………

Seal…………………

FORM XXXVIII

(See Rule 107)

Statement of Shri ………………………………aged…………………..s/o of Sri……………. residing at ………………………….. / I have received notice in Form No.I of the schedule to the Act that arrears amounting to Rs……………… are due from me in respect of certificate No…………………………….. Dated ………………… forwarded by the Sales Tax Officer……………………..I offer a sum o fRs……….. towards the said arrears. Regarding the balance of Rs……………….. of the arrears as as the cost, expenses and charges amount to Rs………………………. I undertake to pay the same in monthly installments of Rs…………………………. is payable not later than ………………….day of each month ending from…………………. Alongwith each installment I also undertake to pay the interest payable at the rate of six percentum per annum for the period immediately after the date of issue of the said certificate. I undertake not to commit any default in the payment of installments. I agree that if I commit any default in paying any of the installments within the time aforesaid, the entire amount due from me on the date of default may be recovered in entirely by such measures as the Tax Recovery Officer……………….. consider necessary. I specify herein my assets as on this day and I agree not to sell, give away, transfer, mortgage, or otherwise alienate or encumber these assets in any way until the entire amount due from me is paid to the Tax Recovery Officer……. in full. I agree that in the meanwhile these assets may continue to remain attached if considered necessary. I also agree to furnish two solvent sureties who will execute surety bond in the form approved by the Tax Recovery Officer………. for the due payment by me of the aforesaid dues in installments as agreed to herein.

Details of assets as on this date………………………………………………..

Before me……………………..

Signature………………………                                       … …………………Signature

Name……………………                                                  . …………………..Name

Designation…………………                                               …………………..Date

FORM XXXIX

(See Rule 27)

To

……………………………. (Purchaser)

……………………………….(Full Address and Registration No.)

Certified the following goods ordered in your purchase order No………… dated ……….. purchased from me/us as per my/our under-mentioned cash Memo……….Bill No………. dated for an amount of Rs……………………. (in words) is/are liable to Sales Tax at the first point in a series of sales under section 8 of the Odisha Sales Tax Act, 1947 and tax thereon is payable by me/us/M/s…………………….. bearing Registration Certificate No……….. dated………………

I/We do hereby declare that the above statements are true to the best of my/our knowledge and belief.

Details of goods sold

Cash Memo/ Bill No. and date

Commodity

Value

(1)

(2)

(3)

     

Dated……………………. Signature of the Selling

Registered Dealer/Authorised Person

(Names and status of the person signing)

FORM XL

(See Rule 27)

To

………………………………………………. (Purchaser)

(Full Address and Registration No……………………………………)

                      Certified that the following goods ordered in your purchase order No……………. dated……………… purchased form me/ us as per my/our under mentioned Cash Memo / Bill No……….. …….dated …………….for an amount of Rs……………….. (in words……..) is/are liable to purchase Tax there on payable be me/us/M/s……… bearing Registration Certificate No……………….. dated…………………

              I/We do hereby declare that the above statements are true to the best of my /our knowledge and belief.

Details of goods sold

Cash Memo/ Bill No. and date Commodity Value

(1)

(2)

(3)

     

Dated……………………. Signature of the Selling

Registered Dealer/Authorised Person

(Names and status of the person signing)

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