MADHYA PRADESH VALUE ADDED TAX RULES, 2006 - FORMS
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Body

Form 29-A

[See rule 43-A]

Application for Settlement

To,

The Commissioner,

Commercial Tax,

Member Secretary,

Settlement Authority,

Moti Bunglow Compound,

M.G. Road, Indore

1.	Name of the dealer
2.	Registration Certificate No. (TIN)
3.	Address
	Building No./Name/ Area
			Town/City
			District (State)
			Pin Code
			Email id
			Telephone Number (s)
			Fax Number (s)
4.	Date of order			_ _ / _ _ / _ _ _ _
				DD / MM / YYYY
5.	Period to which order relates
6.	Name and designation of the officer passing the order
7.	Particulars of order passed in appeal and/or revision :
	(a) Name and designation of the appellate/ revising authority
	(b) Case no. and date of order
	(c) Relief granted, if any, by the appellate/ revising authority
8.	Status of outstanding demand -
	(a) Total tax liability -
	(i) Undisputed
	(ii)	Disputed
	(b) Total liability of interest and/or penalty, if any.
9.	Amount of tax deposited (Undisputed amount of tax in full and 25 percent of the disputed amount of tax, or full amount of tax)
10.	Grounds for settlement
	............................................... (here state the grounds)
				Signature
	Place			Name
	Date			Status
Verification
I verify that the above information and its enclosures (if any) is true and correct to the best of my knowledge and belief and nothing has been concealed.
				Signature
	Place			Name
	Date			Status

Instructions :

1. Separate application shall be submitted for separate orders.

2. The application should be filed in duplicate.

3. Enclose certified copy of order (s) for which application for settlement is being filed,

4. Enclose proof of payment.

5. Enclose proof of case being pending before the High Court.

6. The form shall be verified and signed by a person as prescribed in sub-rule (1) of rule 11 of the M.P. Vat Rules, 2006.

7. Enclose all documents/evidences that the applicant thinks necessary.