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State of Goa - Section
Section 40 in Goa Tax on Entry of Goods Rules, 2000
40. Fee for clarification of rate of tax.
| Sl. No. | Name in full of each person | Name of father of each person | Age of each person | Permanent postal address of each person | Present postal address of each person | Extent of interest of each person in the business | Signature of person | Name, address and signature of witness attestingsignature |
| (1) | (2) | (3) | (4) | (5) | (6) | (7) | (8) | (9) |
| ............................................................................................................................................................................................................................................................................................................................................................................................................. |
| Sl. No. | Description of the goods | Total value of goods purchased//received (bothfrom within and outside the State) | Value of goods purchased//received from withinthe local area | Value of goods purchased/ /received from outsidethe local area but returned to the suppliers | Value of goods purchased/ /received from outsidethe local area, but sent out of the local area otherwise than byway of sale excluding the amount shown under col. 4 (b) | Purchased value of motor vehicle Imported fromoutside the State on which tax has already been paid by filingstatement in Form 4 | Total deductions 4(a)+4(b)+ 4(c)+4(d) | Total value of goods liable to tax (3-5) | Rate of tax | Tax due (Rs. Ps.) |
| (1) | (2) | (3) | 4(a) | 4(b) | 4(c) | 4(d) | (5) | (6) | (7) | (8) |
| (i) | ||||||||||
| (ii) | ||||||||||
| (iii) | ||||||||||
| (iv) | ||||||||||
| (v) | ||||||||||
| (vi) | ||||||||||
| (viii) | ||||||||||
| (ix) | ||||||||||
| (x) | ||||||||||
| (xi) | ||||||||||
| (xii) | ||||||||||
| (xiii) | ||||||||||
| (xiv) | ||||||||||
| (xv) | ||||||||||
| (xvi) | ||||||||||
| Total |
| Class of motor vehicle | Model | Engine No. | Chassis No. | Purchase value | Rate of Tax | Tax payable | Tax paid | Balance due excess paid |
| (1) | (2) | (3) | (4) | (5) | (6) | (7) | (8) | (9) |
| Nature of goods | Rate of Tax | Tax |
| Total | ||
| Total |
| (i) Total Tax provisionally assessed | Rs. |
| (ii) Less Tax paid provisionally under sub-rule (1) and/or (2)of Rule 7 | Rs. |
| (iii) Balance of tax due | Rs. |
| Date of renewal | Year for which renewed | Signature and Designation of theIssuing/Assessing Authority |
| (1) | (2) | (3) |