Register VR-III
Statement of Form D-III received under the Bihar Value Added Tax Ordinance, 2005
[See Rule 10]
1. Name and style of the business: ________________________________
2. Taxpayer Identification Number of the purchasing dealer: ___________
3. Period to which the statement relates: ___________________________
4. Name of the Circle to which the statement relates: _________________
5. Total Number and Value of Forms received during the quarter:*
6. Total Value of Purchases of Goods specified in Schedule IV:
7. Total Sale affected during the quarter: ___________________________
8. Total Tax deposited during the quarter: __________________________
Remarks
Verification________________________________________________________________________________
I do hereby declare that the above particulars are correct and complete to the best of my knowledge and belief.
Place:
Date:
Signature
Full Name
Status
* Funish, as an Annexure, dealer-wise utilization statement indicating therein details of sales effected during the
period.