THE GOA VALUE ADDED TAX RULES, 2005 FORMS
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Form VAT-XIV

[See rule 6(3)]

Certificate of Composition of tax under section 7 of the Goa Value Added Tax Act, 2005 (Act 9 of 2005).

1. TIN

Registration No.:______

2. Ward

3. Name & Style of Business:

4. Address of the Principal place of Business

5. Nature of Business

6. Period of validity of Certificate of Composition of tax:

from

Certified that the dealer has been granted permission for compounding of tax under section 7 of the Goa Value Added Tax Act, 2005 (Act 9 of 2005)

The dealer shall furnish quarterly return in Form VAT . IV alongwith the receipt of the payment of Composition Tax.

The application for renewal of the certificate should be made within 30 days from the date of its expiry.

Place:
Date:	(Seal of Assessing Authority)	............................................... Assessing Authority................. Ward

Note: Dealer who defaults in filing the returns within the prescribed time shall be disqualified for the composition of tax for the next two consecutive years.

RENEWAL

Date of renewal	Year for which renewed	Signature of Appropriate Assessing Authority