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MADHYA PRADESH VALUE ADDED TAX RULES, 2006 - FORMS
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FORM 64

[See rule 79 (2)(a)]

Tax Clearance Certificate

Certified that Shri / M/s ....................................................................................................
whose principal place of business is situated at.......................................... (Tehsil)...................District..................within the jurisdiction of the ...................... (designation) ...........................circle is not in arrears of any dues on account of tax, interest and penalty under the Madhya Pradesh Vat Act, 2002/*the repealed Act*/the Central Sales Tax Act, 1956/the Madhya Praesh Sthaniya Kshetra Me Mal Ke Pravesh Par Kar Act, 1976.

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Place..................... Signature ......................
Date...................... ...................... (designation)

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

* Strike out whichever is not applicable.