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FORM XXXI
TRIPURA VALUE ADDED TAX ACT, 2004
DEBIT NOTE
[ Under Rule 6(6) (iii) of TVAT Rules ]
DEBIT NOTE – Page –1. Debit Note Serial No. ______
Date of Issue ______
1. Seller’s Name : _________________________________________________
2. Seller’s Address : _______________________________________________
3. Taxpayer’s Identification Number(TIN) : _________________________________
4. Seller’s Telephone No. : ____________________________
5. Tax Invoice No. ___________________________________
6. Date of Issue : ____________________________________
7. Taxable Value shown on the Tax Invoice : _______________
8. Correct Taxable Value : ______________________________
9. Difference Amount (8 – 7) : ___________________________
10. Tax Charged on Difference Amount : ___________________
11. Brief Explanation for Issuing of the: __________________________________
Debit Note __________________________________
ORIGINAL – BUYER Signature of the Authorised Signatory