The Chhattisgarh Value Added Tax Rules, 2006. - FORMS
-

FORM 72

[See rule 78(1)]

Application for grant of Tax Clearance Certificate

To,

The Commercial Tax Officer

..................................Circle

I request that a Tax clearance certificate be granted to me. I give below the necessary particulars :

(1)	Full name of the applicant	................................
(2)	Father's Name	................................
(3)	Name of the business with address	................................
(4)	Registration Certificate No. (if any)	................................
(5)	Permanent address of the applicant	................................
(6)	Present address of the applicant	................................
(7)	Name, designation and address of the officer before whom certificate is to be presented	................................
(8)	Value of contract and its duration	................................
(9)	Amount of earnest money required to be deposited	................................

I,.............declare that to the best of my knowledge and belief., the information furnished above is correct, complete and is truly stated.

Place.....................	Signature........................
Date .....................	Status..............................

ACKNOWLEDGEMENT

Received an application in form 70 from Shri..............................................for grant of a tax clearance certificate under rule 77 of the Chhattisgarh Value Added Tax Act, 2006.

Date .....................	Receiving Officer
	................................