FORM 22

[See rule 24(4)]

Order permitting a dealer to furnish return for different period

Shri____________ who is carrying on the business known as ____________and is a dealer holding registration certificate No. _______ dated _________under the Chhattisgarh Value Added Tax Act. 2005 whose only/* principal place of business within the jurisdiction of the Commercial Tax Officer______________ is situated at__________ Town/*Village________District___________Tehsil_________Municipal ward No.___________(for municipal area only) is hereby permitted under proviso to sub-section (l) of section 19 of the said Act and rule 24 of the Chhattisgarh Value Added Tax Rules, 2006 to furnish return for different period in form 17 for the period from ________to___________ on or before __________ (date) in lieu of the quarterly returns under rule 20(2)(a) of the said rules subject to the following conditions in respect of the place(s) of business specified below:

Place____________ Registration Certificate No.__________

(l) The said dealer shall pay for the period specified in column (l) of the Schedule appended hereto on or before the date specified in column (2) of the said schedule the amount specified in column (3) thereof.

S C H E D U L E

2) For the last quarter, namely, for the period from _______to ________ the dealer shall pay as tax the difference between the amount of tax payable according to his return for such different period and the tax already paid for the earlier quarters as mentioned in the above schedule.

3) The dealer shall furnish along with the return for such period copies of treasury receipted chalans for all the quarters in respect of which tax has been paid.

4) This permission is liable to be cancelled by the Commercial Tax Officer at any time on account of any infringement of the conditions mentioned in sub-rule (4) of rule 24 of the said rules.

Place______________

Signature ______________

Date_______________

Designation ____________

*Strike out whichever is not applicable.