Maharashtra Value Added Tax Rules, 2005 FORMS
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FORM-106

(See sub-rule 16(3))

Declaration under Sub-Section (2) of section 19 of the Maharashtra Value Added Tax Act, 2002

I/We undersigned engaged in the business and liable to pay the tax under the Maharashtra Value Added Tax Act 2002, do hereby declare our Permanent Account Number (PAN) under Income Tax Act, 1961 for the purpose of the said Act, The details are as under:-

1)) *Name of the Applicant

________________________________________________

2) Name and Style of Business

________________________________________________

3) Name and style of business at other places in the state of Maharashtra, if any

________________________________________________

4) Whether Permanent Account Number obtained or applied for (Please tick the appropriate box)

Obtained

Applied For

5) If Permanent Account Number as per Income Tax Act 1961 has been obtained, then please State the number

_________________________________________________

Place

Date

* Signature

** Status

* The declaration shall be signed in the case of-

(a)	a Hindu undivided family by its Karta.
(b)	an association, club or society, by its President or Chairman or the Secretary.
(c)	a firm, by the partners having a total share of not less than 50 per cent.
(d)	a private limited company, by all its directors or where there are no directors by the authorised representative.
(e)	a public limited company or co-operative society, by the managing agent or where there are no managing agents, by the managing director or the Chairman of the Board of Directors and the Secretary.
(f)	an individual, by the proprietor,
(g)	the Government, by an officer duly authorised by it.
(h)	a business run by a guardian or trustee or otherswise on behalf of another person, by the guardian, trustee, or the person managing the business.

** Enter here one of the following as may be applicable

a)	The guardian/trustee or...............................................on behalf of............................................ a Hindu undivided family known as...........................................................................................
b)	An association/club/society known as......................................................................................
c)	A firm known as.........................................................................................................................
d)	A private limited company known as........................................................................................
e)	A public limited company/co-operative society known as......................................................