The Gujarat Value Added Tax Rules, 2006
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FORM 210

[See sub rule (1) of rule (28)]

Application for permission to pay Lump Sum Tax in Lieu of tax under section 14 of the Gujarat Value Added Tax Act, 2003

To,

The Commercial Tax Officer

________________________

I submit my application as follows for the grant of permission to me /Ms/ ____________________________________ to pay lump sum tax under section 14 of the Gujarat Value Added Tax Act, 2003.

	The Details of my business are as under :

1.	Name of the Applicant________________________________________
2.	Name of the Firm (Business) ___________________________________
3.	Address ____________________________________________________
4.	Registration Number under Gujarat Value Added Tax Act, 2003
	___________________
5.	Registration Number under the CST ACT 1956 _____________________
6.	Nature of Business ___________________________________________
7.	The period of previous year from ___________ to ___________________
8.	Total Turnover during the previous year Rs. ________________
9.	Total taxable turnover of Rs. ______________

I may be granted the permission to pay lump sum tax for the period commencing from _____________ and ending 31 st of March __________________.

Place ----------------------	Signature--------------------
Date -----------------------	Designation -----------------