Bihar Value Added Tax Rules, 2005 FORMS
-

Form A-IV

Application for grant of tax clearance certificate under section 42 of the Bihar Value Added Tax Act, 2005

(See rule 30)

Office of the _____________________ of Commercial Taxes ______________________ Circle

To,

The___________________________________

___________________________________circle.

I ____________________________ (full name) son of ___________________________________ (full name) hereby apply for the grant of clearance certificate under section 42 of the Bihar Value Added Sale Tax Act, 2005 and furnish the following particular for that purpose

Name and style of the firm

...............................................................................................................

Taxpayer Identification Number

...............................................................................................................

Whether the applicant has any arrears of tax, interest or penalty in relation to which no stay order contemplated under clause (a) of sub-rule (2) of rule 30 has been passed?

Yes

Period in respect of which returns required by section 24 have been furnished:

.....................................................

If the applicant is not registered under the Bihar Value Added Tax Act, 2005, has the undertaking specified under the second proviso to section 42 been attached-

..............................................................................................................................................................................

(Give details)

DECLARATION

I do hereby declare that particulars furnished in this application are correct and complete to the best of my knowledge and belief.

Place __________________	Signature of the applicant ______________________
Date __________________	Status in relation to the dealer __________________