THE RAJASTHAN VALUE ADDED TAX RULES, 2006 - FORMS
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FORM VAT-40B

[See rule 40(3)]

Application for cancellation /issue of duplicate certificate/ amendment of Awarder Identification Certificate

Awarder Identification Number (AIN)

I _________________________________ on behalf of _______________ (Here state the name of registered dealer/Organization/Department) submit the application for following reasons:which is applicable

1. For the cancellation of the Awarder Identification Certificate issued on ________________________ as we have ceased to be responsible for making deduction of tax.

2. For issue of duplicate copy of Awarder Identification Certificate as Original Awarder Identification Certificate is lost/ misplaced/ destroyed.

3. For any change that does not alter the basic status of dealer: Please mention the change below:

……………………………………………………………………………………

……………………………………………………………………………

4. For change in the basic status of dealer: Please mention the change below:

……………………………………………………………………………………

……………………………………………………………………………

5. For discontinuation of activity by awarder:

Place :	Signature :
Date :	Autorized person