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THE RAJASTHAN VALUE ADDED TAX RULES, 2006 - FORMS
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Form VAT-71

(See Rule 17A)

Application for opt out from the payment of tax in lump sum

To,

The Assessing Authority

________________________

________________________

I submit my application for opt out to lump sum in lieu of tax under rule 17A of Rajasthan Value Added Tax Rules, 2006 from the date..................... The Details of my business are as under :

1 TIN
2 Name of the Applicant :
3 Name of the Dealer :
4 Address :
5 Commodities for which option to pay tax in lump sum is opted:
6 Details of buisness (as on date of opting out):
  a. Turnover of Current Financial Year:
  b. Composition Amount which has become due:
  c. Interest payable on the Composition Amount due (if any):
  d. Late fee payable(if any):
  e. Date of deposit of due Amount:
7 Closing stock of commodity for which option to pay tax in lump sum is opted :
I/We declare that the information given above is true and correct to the best of my/our knowledge and nothing has been concealed and I shall abide by all the conditions specified in relevant rule.

Place : Signature
Date : Designation: