FORM 55

[See rule 75(2)(b)]

Application for obtaining declaration Form-49

To,

The ...................... (designation),

__________________

__________________

Sir,

*I/we__________________am /are carrying on business under the name and style of __________________ situated at ________________(city / town/village) ___________Tehsil___________ District and holding TIN_______________________ under the Madhya Pradesh Vat Act, 2002. 

1. I/We request that ______ (number) books of declaration Form 49 containing 25/*50 forms in triplicate/*loose____ forms be supplied to *me/us, the fee for which *I/We have paid vide Challan /MPTC receipt No.__________ Date ____________for Rs..____. 

2. *I/We declare that *my/our TIN mentioned above is in force and has not been cancelled till this date.

Received____________Books containing form No. from____to ___________

*Strike out whichever is not required.

ACKNOWLEDGMENT OF FORM 55

Received application for issuance of ________ (number) Form 49 along with challan /MPTC receipt No.__________Date__________for Rs..________from M/s. __________________ TIN__________on dated __________ at __________ (time).

Form 49 will be issued  on dated __________ at __________ (time).