Bihar Value Added Tax Rules, 2005 FORMS
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Form A-II

Application for cancellation of certificate of registration under section 20 of the

Bihar Value Added Tax Act, 2005

(See rule 5)

Office of the ____________________________ of Commercial Taxes ____________________ Circle

To,

The ____________________ of Commercial Taxes ____________________________Circle ____________________

I (full name) son of ____________________ (full name) hereby apply for cancellation of the said certificate and furnish following particulars for that purpose-

1.	Name and style of the business	.......................................................................................
2.	Tax payer identification number	.......................................................................................
3.	Ground on which cancellation of registration is applied for-
	(a)
	(b)
	(c)
4.	Value of entire stock remaining unsold on the date with effect from which cancellation is applied for:
5.	Details of forms submitted under the Bihar Value Added Tax Rules, 2005 as well as the Central Sales Tax (Registration and Turnover) Rules, 1957 along with this application-
	(a) ....................................................................................................................................................................
	(b) ....................................................................................................................................................................
	(c) ....................................................................................................................................................................
	(d) ....................................................................................................................................................................
	(e) ....................................................................................................................................................................
	(f) ....................................................................................................................................................................
6.	Address to which communication should be sent
	.........................................................................................................................................................................
	.........................................................................................................................................................................
7.	(a) Period up to which returns have been filed.	...................................................................................
	(b) Period up to which admitted tax has been paid.	...................................................................................
	(c) Amount of any tax, interest or penalty remaining unpaid on the date of applying for cancellation and details thereof:	................................................................................... ...................................................................................

Verification

I do hereby declare that the above particulars are correct and complete to the best of my knowledge and belief.

Place __________________	Signature _____________________________
Date __________________	Status________________________________

The application shall be signed by the proprietor of the business, if an individual; by the Karta, if an undivided Hindu family; by authorized partner in the case of a firm; by a Managing Director, Managing Agent or Principal Executive Officer in the case of a Company or Corporation; by the Principal Executive Officer or Officer-in-charge in the case of a society, club, association, department of Government or local authority.