The Jharkhand Value Added Tax Forms , 2005
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GOVERNMENT OF JHARKHAND

COMMERCIAL TAXES DEPARTMENT

Form JVAT-101 Omitted w.e.f. 22-10-2014

[See Rule 3(v) and 3(x)(a)]

Application for the grant of Registration u/s 25(1) or 26(1) of the Jharkhand VAT Act, 2005

The Registering Authority,

................................... District.

I/We ----------------------.. Proprietor/Partner(s)/Karta of HUF/Principal Officer managing the business/affairs of the Company/Society/Association of Persons/Club/Head of the Department or any other officer duly authorised by him in writing, of the business, details of which are given below, hereby apply on behalf of the said business for grant of a certificate of registration under the Jharkhand Value Added Tax Act, 2005, for which a registration fee of ` 50.00 has been paid on------------. vide Ch No---- date----------./ by affixing court fee stamp worth ` 50.00 on this application:-

Name and address of the Dealer

Name and style of business

Principal place of Business and contact Number(s).

Address	Phone :
City	Fax:
District	E-Mail:

Permanent Account Number of the Dealer(s)/Business (PAN)

5. Constitution of the business ("Tick") whichever is applicable

Proprietorship	Public Limited Company	Board or Corporation	Government Department
Partnership	HUF	Association of Persons	Others
Private Limited Company	Co-Operative Society	Club

6. Nature of Business ("Tick") whichever is applicable

Manufacturing	Exporter	Distributor	Local Authority
Mining	Whole Sale Trade	Stockist	Importer
Power Generation / Distribution	Retail Trade	C & F Agent	Others
Works Contractor	Restaurant	Govt. Company	Intending manufacturer u/s 25(10)
Intending power generation/distribution & telecommunication u/s 25(11)	SEZ unit or similar unit

(a) Principal commodities in which the business deals in and

(b) Principal commodities for intending manufacturers u/s 25(10)

(b) The items codes therein

8. Basis of incurring liability to pay tax ("Tick") whichever is applicable.

(a) Import of Goods into the State

(b) Export of Goods out of State

(d) Voluntary registration and Registration u/s 25(10) / 25(11)

(e) Other Provisions

9. Date of liability

D	D	-	M	M	-	Y	Y	Y	Y
		-			-

10. If voluntary registration: specify the GTO

11. Details of Bank Account(s)

Name of Bank with address	Type of account	Account Number

12. Details of immovable properties owned wholly or partly by the business.

Sr. No.

Description of property

Address where property is situated

Approximate value

Share Percentage

13.

Script in which account books are maintained.

14.

State: whether your accounts are computerized :

Yes / No (please tick)

15.

State: whether you were registered under the Repealed Act or CST Act If Yes: Please specify your Regn. Nos. -

Yes / No (please tick)

16.

Attach Annexure-I for the names, addresses and other details of the Proprietor, each of the Partner, Karta of HUF and each Director (in case of Private/Public limited Company).

17.

Enclose a copy of the Partnership deed /Memorandum of Articles of Association.

18.

Attach Annexure-II for the details of Additional place(s) of business/units/branches.

19.

Attach Annexure-III for the details of security furnished.

20. Passport size (self signed) photographs of the proprietor, each of the partner, Karta of HUF and each director (in case of private limited company) are pasted below.

Name _________

Status _________

Name________

Status________

Name _________

Status _________

Name________

Status________

Name _________

Status _________

Name________

Status________

VERIFICATION

I/We ______________________________ do hereby solemnly affirm and declare that the information contained in this application, including Annexures attached herewith, is true and correct to the best of my/our knowledge and belief.

	Signature __________________
Place____________	Full name__________________
Date____________	Status_____________________

DECLARATION

(i) I/We hereby undertake to abide by the provisions of the Jharkhand Value Added Tax Act, 2005 and the Jharkhand Value Added Tax Rules, 2006.

(ii) A signboard in the name of my/our business has already been displayed at all the business premises.

(iii) That the books of accounts in respect of the said business are being maintained and shall be found at the said business premises.

	Signature __________________
Place____________	Status_____________________
Date____________	Full name__________________

(Signature of other partners in case of partnership business)

(1)

(2)

	Signature ........................
Place :	Full Name .......................
Date:	Status ..............................

	Signature ........................
Place :	Full Name .......................
Date:	Status ..............................

(3)

(4)

	Signature ........................
Place :	Full Name .......................
Date:	Status ..............................

	Signature ........................
Place :	Full Name .......................
Date:	Status ..............................

_____________________________________________________________________________________

(For office use only)

Acknowledgement receipt No. ...................... Date ...................... Circle ......................

	Signature and Stamp of section clerk

Annexure I

(To be attached with Form JVAT 100/101/102/103)*

[See Rule 3(i), 3(v), 3(x)(a), 4(i) and 11(2)]

Information about Proprietor, each Partner (in case of partnership business)/Director (in case of Private Company) separately and Karta of HUF

Full Name in Capitals

_____________________________________

Father's Name in Capitals

______________________________________

Status

____________________________________

Extent of interest in business

______________________

Permanent Address

House No. ________	Sector/ Street __
City ________	District ________
State ________	Pin ________

Present Address

House No. ________	Sector/ Street ____
City ________	District ________
State ________	Pin ________

Details of all immovable properties owned:

Sr. No.

Full address where property is situated

Approximate value

Extent of share

Particulars of other business(s) in which the person has interest

Sr.No.

Name of business

Address

Extent of share

VERIFICATION

The above details are true and complete to the best of my knowledge and belief and nothing has been concealed therein.

Place____________
Date ____________	Signature of the person concerned

* Strike out which are not applicable

Annexure- II

(To be attached with Form JVAT 100/101/103)*

[See Rule 3(i), 3(v),3(x)(a) & 4(i)]

Details of Additional places of business/units/branches

Serial

No.

Complete Address

Use of premises-factory/ godown/ office/ sale outlet/ any other (to be specified)

Telephone Number / Mobile Number

VERIFICATION

The above details are true and complete to the best of my knowledge and belief and nothing has been concealed therein. I further declare that I shall inform the department whenever there is a change in the information provided in this Annexure.

	Signature ____________
Place____________	Full name__________________
Date ____________	Status____________________

* Strike out which are not applicable

Annexure - III

(To be attached with Form JVAT 100/101/103)*

[See Rule 3(i), 3(v), 3(x)(a) & 4(i)]

(Details of Security Furnished)

Serial

No.

Name of the

surety

Type of

Security

Amount

Name and TIN under the VAT Act of the business in which surety has an interest

Date of expiry (in case of Bank

guarantee)

VERIFICATION

	Signature ____________
Place____________	Full name__________________
Date ____________	Status____________________

* Strike out which are not applicable