THE HIMACHAL PRADESH VALUE ADDED TAX RULES, 2005. FORMS
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Body

Form VAT-1

[See rule 3(1)]

Application for the grant of VAT/GENERAL registration under section 14 of the Himachal Pradesh Value Added Tax Act, 2005.

The Assessing Authority,

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

I/We ............................. Proprietor/Manager (duly authorised)/ 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 Himachal Pradesh Value Added Tax Act, 2005, for which a registration fee of Rs.100.00 has been paid on ............ vide TR No...... date ...............

1. Name of Business:-

(a)	Name as per PAN
(b)	Trade Name .

2. Principal place of the business and contact address:

Principal place of business
Address	Phone:
City	Fax:
District	E-mail:

3. Permanent Account number of the business (PAN) under the Income Tax Act, 1961.

4. Constitution of the business, (Tick ) whichever is applicable

Proprietorship	Private Limited Company	Association of Persons	Government Corporation/ Board
Partnership	Public Limited Company	Club	*
HUF	Co-Operative Society	Government

*(To be specified if not covered by any of the given descriptions)

5. Nature of business, (Tick) whichever is applicable

Manufacturing	Leasing	Telecommunication	Stone Crusher
Wholesale business	Catering (service of eatables)	Halwai/Dhaba/ Tandoor/Loh /Chat service	Other
Retail-sale business	Mining	Brick-kiln owner
Works Contracting	Power Generation or distribution	Lottery dealer

6. Principal commodities in which the business is done.

7. EAC (Economic Activity Code)

(As per Schedule-I appended to the rules)

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

Import:

Export:

Sale exceeding Rs...........:

Registration under section 14(2):-

9. Date of liability

10. Details of Bank Account(s) of persons having interest in the business:

Name of Bank with address	Type of account	Account Number

11. Details of immovable properties owned wholly or partly by persons having interest in the business:.

Serial

No.

Name of the owner

Description of property

Address where property is situated

Approximate value

Percentage

12. Script in which account books are maintained

13. The names, addresses and other details of the proprietor, each of the partner or member, Karta of Hindu Undivided Family and each director (in case of private limited company) are attached as per Annexure-I.

14. Attested copy of the partnership deed /Memorandum of Association and Articles of Association/ other agreement/ document---------- is/ are enclosed.

15. The details of additional place(s) of business are attached as per Annexure-II.

16. The list of goods required to be purchased for use in manufacture, telecommunication network, generation or distribution of electric energy or other power captive use or packing of goods and use as capital goods is attached as per Annexure-III.

17. The details of security furnished are attached as per Annexure-IV.

18. Passport size (self-signed) photographs of the proprietor, each of the partner, Karta of Hindu Undivided Family and each director (in case of private limited company) ect. are pasted below.

Name	Name	Name
Status	Status	Status

and one such photograph (self-signed) of each of the concerned attached.

VERIFICIATION

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.

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

DECLARATION

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

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

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

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

(Signature of other partners in case of partnership business)

(1)	Place ..........	Signature ..........	(2)	Place ..........	Signature ..........
		Full Name ..........			Full Name ..........
	Date	Status		Date	Status

(3)	Place ..........	Signature ..........	(4)	Place ..........	Signature ..........
		Full Name ..........			Full Name..
	Date	Status		Date	Status

________________________________________________________________________________________

(For office use only)

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

Annexure-I

(To be attached with form VAT-1)

Information about Proprietor, Manager (duly authorised), each Partner (in case of partnership business)/Director (in case of Private Company) separately, Karta of Hindu Undivided Family.

1.	Full name (in capital letters)	_________________________________
2.	Father's Name (in capital letters)	_________________________________
3.	Status	_________________________________
4.	Extent of interest in business	_________________________________
5.	Permanent Address	House No. _______Village/Town/City ___________
		Tehsil______ District ______________ State___________ Pin code_________
6.	Present Address	House No. _______Village/Town/City ____________
		Tehsil ________ District _________________ State___________ Pin code ________

7. Details of all immovable properties owned:

Sr. No.

Full address where property is situated

Approximate value

Extent of share

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

Sr. No.

Full address where property is situated

Approximate value

Extent of share

VERIFICATION

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

Place ____________

Signature of the person concerned

Date_____________

Annexure-II

(To be attached with form VAT-1)

Details of additional places of business

Sr. No.	Complete Address	Use of premises factory/godown/officer/sale outlet/any other (to be specified)	Telephone Number

VERIFICATION

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

Place ______________	1.	Signature ....................
		Full name _______________
Date_______________		Status __________________
	2.	________________________
		________________________

Annexure-III

(To be attached with form VAT-I)

The List of goods required to be purchased for use in manufacture, telecommunication, generation or distribution of electricity or other form of power, packing of goods and use as capital goods .

Serial No.	Purpose for which required	Description of goods
(1)	(2)	(3)
1.	For use in manufacture of goods.
2.	For use in telecommunication network.
3.	For use in generation or distribution of electricity or any other form of power.
4.	For use in packing of goods specified in Column (3) of entries at serial Nos. 1 to 3 above, as the case may be.
5.	For use as Capital goods.

Signature ________________

Full Name _______________

Status___________________

Annexure-IV

(To be attached with form VAT-I)

(Details of Security Furnished)

Serial No.	Type of security	Name of the surety (if applicable)	Amount	Name and TIN of the business in which surety has an interest.	Date of expiry (in case of bank guarantee)

VERIFICATION

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

Place ______________		Signature .......................
Date_______________		Full name _______________
		Status __________________

Annexure-V

(To be attached with form VAT-I)

Details of Stock of goods (other than capital goods) as on 31.03.2005

1	Total value of the stock as on 31.03.2005:	Rs.____________
2	Value of goods out of (1) above which are lying in the form in which these were purchased:	Rs.____________
3	Value of manufactured goods including goods in process(in case of a manufacturing concern).	Rs.____________

4. Break-up of value of goods at (2) above:

Value of stock of goods as on 31.03.2005: Rs.________

Value of goods purchased within the State

Value of goods purchased from outside the State

Rs.

Tax paid goods

Rate of tax

Value of goods

Rs.

Tax element in value

Rs.

Tax free goods

Rs.

Taxable goods (purchased without payment of tax)

Rs.

Total:

5. Break up of value of goods used in the manufacture of goods at (3) above.

Total Value: Rs.

Value of goods purchased within the State: Rs.

Value of goods purchased from outside the State

Rs.

Tax paid goods

Tax free goods

Rs.

Taxable goods (purchased without payment of tax)

Rs.

Rate of tax

Value of goods

Rs.

Tax element in value

Rs.

Total:

VERIFICATION

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

Place ______________		Signature ..........................
Date_______________		Status __________________
		Full name _______________