Bihar Value Added Tax Rules, 2005 FORMS
-

Body

FORM A-XIA

Intimation under sub section (1A) of section 15 of the Bihar Value Added Tax Act, 2005

[See rule 11 (2)]

To,

The ..............................

........................... Circle.

I, ................................. (full name), son of .................. (full name) hereby submit this information under sub-section (1A) of section 15 of the Bihar Value Added Tax Act, 2005 and through following particulars for that purpose:

(1) Name & Style of business-
(2) Taxpayer Identification Number (TIN)-
(3) Gross Turn over during the immediately preceding year (Applicable to dealers opting to pay tax under sub-section (1A) of section 15 of the Act)-

Declaration

I do hereby declare that the particulars furnished in this application are correct and complete to the best of my knowledge and belief.

I further declare that I shall inform the Department as soon as I purchase/receive any goods from outside Bihar.

Place ..................	Signature of the applicant ..............................
Date ..................	Status in relation to the dealer ........................
	Permanent address ....................................

The application shall be signed by the proprietor of the business if an individual; by the Karta, if an undivided Hindu family, by an8 authorized partner in the case of a firm; by a managing director, managing agent or principal executive officer in the case of a company or corporation; by the Principal executive officer ... in charge of in the case of society, club, association, department of Gov ernment or local authority.

ACKNOWLEDGEMENT

Received on .................. from .................. an application in Form A-XIA for permission to pay tax under sub-section (1A) of section 15 of the Bihar Value Added Tax Act, 2005.

Signature .....................
Designation ..................