FORM VAT-105
APPLICATION FOR REFUND OF SECURITY
[Refer sub-rule (1) of rule 26]
.
(Please mark v whichever is applicable)
(a) by depositing in the Government Treasury vide challan No. ____________
dt. ___________; or
(b) by depositing in Post Office Savings Bank bearing account No. __________
of ___________ Post Office and pledging the Pass Book in favour of______________ which was deposited with him on _______________; or
(c) by depositing in shape of National Savings certificate bearing No. ______________ of _______ Post Office pledged in favour of _______________; or
(d) by mortgaging immovable property bearing the following details in favour of ___________ on _____________
(a) closure or discontinuation of business; or
(b) the period for which the deposit in the Post Office Savings Bank was made or the period of maturity of the National Savings Certificate has expired; or
(c) the immovable property mortgaged is required to be retired for other purposes; or
(d) any other ground to be specified;
(i)
(ii)
(iii)
I have arrears of Rs. _____________ (Rupees ________________) towards tax, interest, Penalty or any other due under the Act for the period ________________, which I have deposited through receipted Treasury Challan dt. ____________ or crossed demand draft bearing No. _________ dt. _____________ drawn ___________ branch of __________ Bank; or
I hereby authorize the registering authority to deduct the arrears of tax, interest, penalty or any other due under the Act, outstanding for realization, to be deducted from the security furnished.
Or there is no need for furnishing any security.
DECLARATION
I _____________________ son/daughter/wife of _________________ (Status) ______________ of the above mentioned business hereby declare that the information furnished in the form are true and correct to the best of my knowledge and belief. I undertake to intimate the registering authority immediately, of any change in the information furnished.
Signature