Form 214A

(See clause (bb) of sub- rule (8) of rule 28)

Application for permission to pay composition in lieu of the tax payable on the turnover of the sales of goods involved in the execution of works contract to be executed during the year or for the remaining period of the year.

Registration Certificate No. _________________________

To,

The Commercial Tax Officer,

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

1. I................................. of Messers .......................................... holding registration certificate No............. dated ......... and carrying on the business known as ............................................................... whereof the only/chief place of business is within the jurisdiction of Commercial Tax Officer ..................... in the district of ..................... is situated at Room/Flat* No........................ Name of the Building.................................. ward/Locality* ............................. Road ........................ Village............ Post Office ....................Taluka ................ do hereby apply for permission to pay composition in lieu of tax under the provision of section 14A of the Gujarat Value Added Tax Act, 2003.

2. The nature of my business is executing works contract.

3. I opt to pay composition in lieu of tax payable by me on the turnover of sales of goods involved in the execution of works contract to be executed by me during the year............ or for the remaining period of the year.

4. I hereby undertake that I shall regularly furnish statements in the Form 216 (Over and above the returns to be filed under section 29 of the Gujarat Value Added Tax Act, 2003) and shall pay the amount of the composition due according to the provision of the rules made in this behalf under the Act.

5. I shall not collect any amount by way of tax in respect of any sales of goods involved in the execution of works contract mentioned in Para 3 above.

6. I have paid the amount of difference between the composition money and the amount already paid towards tax by me together with the interest, by chalan No. ......... Dated ............ a copy of which enclosed herewith.

7 I also enclose herewith a chalan in respect of the payment of the amount claimed by me by way of tax credit in respect of the contract mentioned in para 3 above.

I solemnly declare that the above statements are true to the best of my knowledge and Belief.