STATEMENT OF THE GOODS STORED
IN COLD STORAGE
[ See Rule 32 (2) ]
FORM 515
Period for which statement is filed:
01.Tax Office Address:
_____________________________________
_____________________________________
TIN/GRN
_____________________________________
02.Name :
Address:
I, __________________________ S/o,D/o,W/o_________________________ on behalf of M/s
_____________________________________ (name and address of the cold storage) furnish hereunder
the statement of the goods entrusted to us for storage by the persons other than the registered dealers and
farmers in the month of _________________
Sl.
No.
(1)
Name &
Address of
the person
(2)
Nature of
goods stored
Quantity
Date of
Storage
Sl. No. in
Form 520
(3)
(4)
(5)
(6)
Signature and Designation
of the authorised person on Behalf of cold storage
163