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MADHYA PRADESH VALUE ADDED TAX RULES, 2006 - FORMS
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FORM 63

[See rule 79(1)]

Application for grant of Tax Clearance Certificate

To,

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

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

I request that a Tax clearance certificate be granted to me. I give below the necessary particulars:

(1) Full name of the applicant
 

 

(2) Father's Name
 

 

(3) Name of the business with address
 

 

(4) TIN (if any)
 

 

(5) Permanent address of the applicant
 

 

(6) Present address of the applicant
 

 

(7) Name, designation and address of the officer before whom certificate is to be presented
 

 

(8) Value of contract and its duration
 

 

(9) Amount of earnest money required to be deposited
 

 

I,..................................................declare that to the best of my knowledge and belief the information furnished above is correct, complete and is truly stated.

Place.....................

Date .....................

Signature..........................

Status................................

______________________________________________________________________________________________

Received an application in form 63 from Shri / M/s...........................................................for grant of a tax clearance certificate under rule 79 of the Madhya Pradesh Vat Rules, 2006.

Date........................... Receiving Official

Employee ID

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