Register VR-IX
Statement of Form D-VIII, D-IX and D-X issued under the Bihar Value Added Tax Ordinance,
2005
[See Rule 41]
(To be maintained separately in respect of each of the declarations in Form D-VIII, D-IX and D-X)
1. Name and style of the business: _________________
2. Taxpayer Identification Number of the selling dealer:
3. Period to which the statement relates:
4. Name of the Circle to which the statement relates:
Part - 'A'
During the Quarter
Serial Number No. of
From
To Forms
Number of forms in hand on first day of
the quarter:
Number of forms received/printed during
the quarter:
*Number of forms issued during the
quarter:
Number of forms in hand on last day of
the quarter:
Up to the Quarter
Serial Number No. of
From
To Forms
Part - 'B'
Name of the press from which the forms were printed: ____________________________
Address of the press from which the forms were printed: ___________________________
Taxpayer Identification Number, if any, of the press from which the forms were printed:
Part - 'C
Total value of forms issued during the quarter: __________
Total tax deposited during the quarter: ________________
________________________________ 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
* Funish, as an Annexure, dealer-wise utilization statement indicating therein details of sales effected
during the period.