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is not in arrears of any dues on account of tax, interest and penalty under the Madhya Pradesh Vat Act, 2002/*the repealed Act*/the Central Sales Tax Act, 1956/the Madhya Praesh Sthaniya Kshetra Me Mal Ke Pravesh Par Kar Act, 1976.
Seal
............... Circle
* Strike out whichever is not applicable.