FORM 5

[See rule 8(1) and (9)]

Application for grant of permission to make payment of lump sum amount by way of composition under Section 10 of Chhattisgarh Value Added Tax Act, 2005.

To,

The Commercial Tax Officer,

.....................circle.

I.....................a dealer holding registration certificate No. .....................under Chhattisgarh Value Added Tax Act, 2005, have taken a works contract at .....................(place) for execution of the work.................. (give description of work) for Rs.....................The execution of the contract shall commence on ..................and is likely to be completed by .....................I desire to pay a lump sum amount by way of composition in lieu of tax that would by payable on goods that may be supplied in the execution of the said works contract awarded to me and accordingly, I hereby seek permission to make such lump sum payment under sub section (1) of section 10 of the Chhattisgarh Value Added Tax Act, 2005.

OR

I, .......................(Name of the dealer).....................(Address) holding registration certificate No. .................. under the Chhattisgarh Value Added Tax Act, 2005 hereby give the option for payment of a lump sum in lieu of tax by way of composition for the year .................. For that purpose I hereby declare that I am dealing in cooked food or/and goods declared tax free under section 15 or/and goods being purchased by me from other registered dealers after payment to them of tax under section 8 of the said Act and that my turnover in a year has ordinarily been less than rupees fifty lacs.

2- I shall furnish return for the period specified in rule 8(11) of the clause (b) of Chhattisgarh Value Added Tax Rules, 2006 from the date on which the option given by me stands revoked under the provisions of sub-section (2) of section 10 of the said Act.