FORM 13

[See rule 18(5)]

Intimation under sub-rule (5) of rule 18 of the Chhattisgarh Value Added Tax Rules, 2006

I ...................... Proprietor/Manager/Partner/Director/Officer in-charge of the business of selling or supplying goods carried on by the Central Government/State Government holding registration certificate No. ...... under the Chhattisgarh Value Added Tax Act, 2005 with his only/Principal place of business situated in Municipal Ward No. .... (for municipal areas only) at ............ in the tahsil ...... of the district........ hereby state that I had made an application -------------- Place of business situated in Municipal Ward No.__________ (for municipal areas only) as ___________ in the tahsil ___________ of the district ______________ heareby state that I had made an application in form 10 for cancellation of my registration certificate under section 16 (10)(b)/* (c) of the said Act. on ____________ received in your office on _______________ and as no orders have been passed thereon within a period of six months from the date of its receipt in your office, my said registration certificate is deemed to have been cancelled under sub-rule(5) rule 18 Chhattisgarh Value Added Tax Rules 2006. Therefore, in pursuance of the requirement under rule 19(1)(b) I am sending herewith my registration certificate along with the certified copies thereof and the blank stationary forms held in stock by me on the said date.

Encl:-

(1) Registration certificate with certified copies thereof

(2) _____________ blank statutory forms

*Strike out whichever is not applicable.