THE MADHYA PRADESH GOODS AND SERVICES TAX FORMS 2017
INPUT TAX CREDIT

Body

FORM GST ITC-02A

[See rule 41 A]

Declaration for transfer of ITC pursuant to registration under sub-section (2) of section 25

1	GSTIN of transferor
2	Legal name of transferor
3	Trade name of transferor, if any
4	GSTIN of transferee
5	Legal name of transferee
6	Trade name of transferee, if any

7. Details of ITC to be transferred

Tax	Amount of matched ITC available	Amount of matched ITC to be transferred
1	2	3
Central Tax
State Tax
UTTax
Integrated Tax
Cess

8. Verification

I........................................hereby solemnly, affirm and declare that the information given hereinabove is true and correct to the best of my knowledge and belief and nothing has been concealed there from.

Signature of authorised signatoiy ....................................

Name ....................................

Designation/Status ....................................

Date—dd/mm/yyyy

Instructions: .

1. Transferor refers to the registered person who has an existing registration in a State or Union territory.

2. Transferee refers to the place of business for which a separate registration has been obtained under rule 11.