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The Jharkhand Value Added Tax Forms , 2005
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FORM JCCF

GOVERNMENT OF JHARKHAND

COMMERCIAL TAXES DEPARTMENT

COMMON APPLICATION FOR CANCELLATION OF REGISTRATION

[See Rule See Rule 8 (JVAT), 7 (JENT), 7(JHLT), 9 (JAT) & 5 (JED)]

01. Commercial Taxes Circle Date Month Year
       
  02. TIN                      
03. Name: ...................................................................................................................................................................

Address : ....................................................................................................................................................................

Tax Type: -- VAT ACT -- Entertainment Tax ACT -- Hotels and Luxury Tax ACT --Advertisement Tax ACT -- Electricity Duty ACT

I apply to cancel my Registration with effect from 04 Date:
Reason(s) for the cancellation of registration: Delete (i) (ii) or (iii) if not applicable)    
(i) My business closed on: 05 Date:
(ii) The value of my taxable turnover over the previous 3 calendar years was 06 Value:
And the value of my taxable turnover over the previous 12 calendar months was 07 Value
(This Clause ii is applicable for VAT Dealers)    
(iii) I request to cancel my voluntary registration which was registered with effect from (applicable for VAT. Dealers) 08 Date:
The value of my taxable turnover over the previous 3 calendar years was : 09 Value:
The value of my taxable turnover over the previous 12 calendar months was: 10 Value
(iv) Other reasons (Pls. specify) 11  
(v)I hereby surrender the unused Authenticated Prescribed Forms (Indicate the details of the forms in the box provided) 12  
The reasons for the application under (i), (ii), (iii) or (iv) above are:

………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………

I undertake that I must account for VAT on any stock or assets on hand on which I have received refund of input tax, and file a final tax return and pay the VAT due prior to the cancellation of my registration (For VAT Dealer Only).

DECLARATION

I (Name) ………………………………………………… status ………………… of the above business hereby declare that the information given in this form are true and correct.

  Signature …………………………
Place : Status…………………………………
Date: Full Name …………………………