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Form of Indemnity Bond

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..... ................ in the State of .............................. We / M/s .............................................. / a firm / a company registered under the laws of India and having its registered office at ................................... registered dealers under the Central Sales Tax Act, 1956 under registration No. . ................ in the State of .................. (hereinafter ca .....

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..... the event a blank or a duty completed form of declaration is lost while it is in the custody of the purchasing dealer or in transit to the selling dealer, the purchasing dealer and as the case may be also a selling dealer each to furnish an indemnity bond to, in the case of purchasing dealer, the notified authority from whom the said form was obtained and in the case of a selling dealer, the notif .....

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..... hasing dealer) and sent to .......................... . ........ (notified authority of the selling dealer s State) in respect of the goods mentioned below (hereinafter referred to as the Form . Sl. No. No. of Bill / Invoice / Challan Date Description of Goods Quantity Amount .....

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..... f the misuse of such Form. THEN the above written bond or obligation shall be void and of no effect but otherwise shall remain in full force, effect and virtue. The obligor further undertakes to mortgage/charge the properties specified in the Schedule hereunder written by execution of proper deed of mortgage/charge for the payment of the said sum whenever called upon to do so by the assessing auth .....

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..... . (Obligor s signature) Accepted for and on behalf of the President of India/Governor of ............... ....................... .................. by name and designation of the Officer duly authorised in pursuance of Article 299(l) of the Constitution, to accept the bond for and on behalf of the President of India/Governor of ................................ In presence of : 1. .....

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