Application Form L-1

Form of application under rule 50 of the Himachal Pradesh Value Added Tax Rules,2005.

(For a dealer who is already registered under the Act)

To

The Assessisng Authority

District...............................

Option to pay lumpsum tax by way of composition under section 7 and sub-section(2) of section 16 of the Himachal Pradesh Value Added Tax Act,2005.

I/We..................................(name, aged......S/O/D/o/W/o Sh./Ms.....................R/o village/Town.................... Tehsil.............District............. proprietor/partner of M/s............................holding TIN..................... In terms of the provisions of rule 50 of the Himachal Pradesh Value Added Tax Rules,2005, do hereby opt for lumpsum tax payment by way of composition under section 7 and under sub-secton(2) of section 16 of the Himachal Pradesh Value Added Tax Act,2005.

2. The business concern is a retailer and deals in mainly following commodities:-

(i)

(ii)

(iii)

(iv)

(v)

(vi)

3. The turnover last year was about Rs. Lakhs.

ACKNOWLEDGEMENT

Received option from M/s.................................................... (mention complete name and address with TIN if any)