The Kerala General Sales Tax - Forms
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FORM No. 52

(see rule 41A and 41AA)

Form of application for settlement of cases under section 39A of the Kerala General Sales Tax Act, 1963.

BEFORE THE SETTLEMENT COMMISSION...............................................Settlement Application No.....................................of ...............................year..........................(to be filled up by the office of the settlement commission)

1. Full name and address of the applicant	:
2. Registration Number	:
3. Status	:
4. The Deputy Commissioner having jurisdiction over the applicant	:
5. Assessment in connection with which the application for settlement is made	:
6. Date of filing the return of turnover for assessment year (s) referred to in column 5	:
7. Proceeding to which application for settlement related, the date from which the proceeding are pending and the authority before whom the proceedings are pending.	:
8. Where any appeal or application for revision has been preferred after the expiry of the period specified for the filing of such appeal or application for revision,as the case may be, whether such appeal or revision has been admitted.	:
9. Particulars of the issue to be settled, nature and circumstances of the case and complexities of the investigation involved.	:
10. Full and true disclosure of turnover which has not been disclosure of Assessing authority, the Manner in which such turnover has been derived and the additional amount of Sales Tax payable on such turnover	:

11. Whether tax due on the turnover has been paid; if so details thereof;
(a) chalan No. & Date............................	:
(b) Name of Treasury................................

Signature and name of the Applicant

Verification

I .........................................Son./daugher/wife of ..........................................do hereby solemnly/declare that to the best of my knowledge and belief, what is stated above and in the Annexure (including the statement and documents accompanying such annexue) is correct and complete. I further declare that I am making this application in my capacity as........................................and that I am competent to make this application and to verify it. Verified today the ..................................the day of................................

Place :

Signature and name of the applicant.

Notes.-

1. The application for settlement must be in quintuplicate.

2. The application for settlement must be accompanied by a fee (of five hundred rupees) prescribed under rule 41A.

3. Please state whether individual, Hindu undivided family, company, firm, an association of person etc.

4. If the space provided is found insufficient, separate enclosures may be used for the purpose.

5. In case of appellate proceedings, indicate the appellate authority, before whom the appeal of filed and the date of filing of the appeal. In case of revision petition, indicate the date of filing the revision petition and whether the same is filed within time or not.

6. Full details of issues for which application for settlement is made, the nature and circumstances of the case and complexities of the investigation involved must be indicated against item 10, whether the application relates to more than one assessment year, these details should be furnished for each assessment year.

7. The application for settlement of case shall not be allowed to be withdrawn by the applicant.

ANNEXURE

Statement containing particular referred to in item 10 of the application under section 39A of the Kerala General Sales Tax Act,.

1. Amount of turnover which has knot been disclosed before the assessing authority

2. Additional amount of sales tax payable on the said turnover

3. Full and true statement of facts regarding the issue to be settled including the terms of settlement sought by the applicant

4. The manner in which the turnover referred to in item No. 1 has been derived.

Place :	Signature and name of the applicant
Date :