COUNTERFOIL
THE CENTRAL SALES
TAX
(Registration & Turnover)
RULES, 1957
⁴⁸FORM 'C'
FORM OF DECLARATION
(See rule 12(1))
Name of  issuing State..........................
Officer of issue ....................................
Date of issue .......................................

Name of the purchasing dealer to
whom issued alongwith his Registration
Certificate No. ......................................
Date from which registration is
valid ...................................................
Serial No ...........................................
           

To
$ ........................................... (Seller)
................................................
⁴⁹Certified that the goods ** Ordered 
 for in our purhase Order No ...............
dated ............................................  
and supplied as per Bill / Cash Memo / Challan No ..........................
dated ....................................
as stated below^* purchased from you 
as per Bill / Cash Memo Challan No.................. dated .........................
are for ^**resale / use in manufacture /
processing of goods for sale / use in 
mining / use in generation / distribution
of power / packing of goods for sale / 
re-sale and are covered by my / our 
registration certificate No ............................................................
dated ..................................... issued
............................................... under
the Central Sales Tax Act, 1956.

⁵⁰[It is further certified that I / We am /
are not registered under Section 7 of
 the said act in the State of ............ ................................................
in which the goods covered by this 
Form are / will be delivered.]

Name and address of the purchasing
dealer in full ...........................................
..............................................................
date .....................................................

⁵¹[The above statement are true to the
best of my knowledge and belief.

                                (Signature)

(Name of the person signing the
   declaration.)

(Status of the person signing the
 declaration in relation to the dealer)]

^*Particulars of Bill / Cash / Memo / 
⁵²[Challan]

Date ............................ No ............

Amount ............................................

$Name and address of the seller with
name of the State.  ^**Strike out
 whichever is not applicable.

(Note:-   To be retained by the
 purchasing dealer.)

DUPLICATE
THE CENTRAL SALES
TAX
(Registration & Turnover)
RULES, 1957
⁴⁸FORM 'C'
FORM OF DECLARATION
(See rule 12(1))
Name of  issuing State..........................
Officer of issue ....................................
Date of issue .......................................

Name of the purchasing dealer to
whom issued alongwith his Registration
Certificate No. ......................................
Date from which registration is
valid ...................................................
Serial No ...........................................
           

To
$ ........................................... (Seller)
................................................
⁴⁹Certified that the goods ** Ordered
 for in our purhase Order No ...............
dated ............................................  
and supplied as per Bill / Cash Memo / Challan No ..........................
dated ....................................
as stated below^* purchased from you 
as per Bill / Cash Memo Challan No.................. dated .........................
are for ^**resale / use in manufacture /
processing of goods for sale / use in 
mining / use in generation / distribution
of power / packing of goods for sale / 
re-sale and are covered by my / our 
registration certificate No ............................................................
dated ..................................... issued
............................................... under
the Central Sales Tax Act, 1956.

⁵⁰[It is further certified that I / We am /
are not registered under Section 7 of
 the said act in the State of ............ ................................................
in which the goods covered by this 
Form are / will be delivered.]

Name and address of the purchasing
dealer in full ...........................................
..............................................................
date .....................................................

⁵¹[The above statement are true to the
best of my knowledge and belief.

                                (Signature)

(Name of the person signing the
   declaration.)

(Status of the person signing the
 declaration in relation to the dealer)]

^*Particulars of Bill / Cash / Memo / 
⁵²[Challan]

Date ............................ No ............

Amount ............................................

$Name and address of the seller with
name of the State.  ^**Strike out
 whichever is not applicable.

(Note:-   To be retained by the
 purchasing dealer.)

ORIGINAL
THE CENTRAL SALES
TAX
(Registration & Turnover)
RULES, 1957
⁴⁸FORM 'C'
FORM OF DECLARATION
(See rule 12(1))
Name of  issuing State..........................
Officer of issue ....................................
Date of issue .......................................

Name of the purchasing dealer to
whom issued alongwith his Registration
Certificate No. ......................................
Date from which registration is
valid ...................................................
Serial No ...........................................
           

To
$ ........................................... (Seller)
................................................
⁴⁹Certified that the goods ** Ordered for
 in our purhase Order No ...............
dated ............................................  
and supplied as per Bill / Cash Memo / Challan No ..........................
dated ....................................
as stated below^* purchased from you 
as per Bill / Cash Memo Challan No.................. dated .........................
are for ^**resale / use in manufacture /
processing of goods for sale / use in 
mining / use in generation / distribution
of power / packing of goods for sale / 
re-sale and are covered by my / our 
registration certificate No ............................................................
dated ..................................... issued
............................................... under
the Central Sales Tax Act, 1956.

⁵⁰[It is further certified that I / We am /
are not registered under Section 7 of
 the said act in the State of ............ ................................................
in which the goods covered by this 
Form are / will be delivered.]

Name and address of the purchasing
dealer in full ...........................................
..............................................................
date .....................................................

⁵¹[The above statement are true to the
best of my knowledge and belief.

                                (Signature)

(Name of the person signing the
   declaration.)

(Status of the person signing the
 declaration in relation to the dealer)]

^*Particulars of Bill / Cash / Memo / 
⁵²[Challan]

Date ............................ No ............

Amount ............................................

$Name and address of the seller with
name of the State.  ^**Strike out
 whichever is not applicable.

(Note:-   To be retained by the
 purchasing dealer.)