THE RAJASTHAN VALUE ADDED TAX RULES, 2006 - FORMS
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Form VAT - 56

[See Rule 68 (2)]

Application for Settlement

The Chairman

Tax Settlement Board

....................................

1.	Name of the Business	________________________________________________
2.	Registrations No. (TIN)	________________________________________________
3.	Address	Building No./ Name/ Area	____________________________
		Town/City	____________________________
		District (State)	____________________________
		Pin Code	____________________________
		Email Id	____________________________
		Telephone Number(s)	____________________________
		Fax Number(s)	____________________________

Date of the disputed order

DD / MM / YYYY

5. Period to which order relates

6. Section, under which order passed

7. Authority concerned

8 Date of filing of the case (as referred to in 9 below)

Have you preferred an appeal / revision/ writ or any suit / complaint which is pending before the authorities as referred to in rule 68(1)(a) against the said order?

Yes

10.

Is any application for rectification against the said order is pending ?

Yes

11.Status of outstanding demand -

a) Total liability including tax, interest and penalty:-

(i) Determined by the assessing authority Rs.	_______________________________________
(ii) Admitted by the applicant Rs.	_______________________________________
(iii)Disputed by the applicant Rs.	_______________________________________
b) If Tax/ penalty/ interest is disputed:-	_______________________________________
(i) Amount of Tax in dispute Rs.	_______________________________________
(ii) Amount of penalty in dispute Rs.	_______________________________________
(iii) Amount of interest (Other than accrued	_______________________________________
interest) in dispute Rs .	_______________________________________

12.

Have you paid the admitted liabilities?

Yes

If yes, enclose copy of challan as a proof of deposit

13.Grounds for settlement of Disputes:

Place :		Signature
Date :
	Name :
	Status :

Verification

I verify that the above information and its enclosures (if any) is true and correct to the best of my knowledge and belief and nothing has been concealed

Place :		Signature
Date :
	Name :
	Status :

Instructions:

1. Read instructions carefully

2. Separate applications shall be submitted by the applicant for separate orders.

3. "Tick" applicable in option boxes

4. The application should be filed in quadruplicate

5. Enclose certified copy of order(s) for which application for settlement is being filed

6. Enclose proof of payment of undisputed amount

7. Enclose proof of case being pending before appropriate forum

8. Enclose proof of filing case as referred to in 9 above

9. Affix court fee stamp

10. This Form should be verified and signed by:

a. Proprietor, in case of Proprietorship concern

b. Managing Partner, in case of Partnership firm and where there is no Managing Partner, by all the partners if there is no registered partnership deed and in case of a registered partnership deed by any one of them.

c. Managing Director or authorized signatory, in case of a Company

d. Karta, in case of Hindu Undivided Family

e. Legal heir/ Successor/ Nominee/ Assignee

f. Authorised Signatory, in all other cases

g. Or by the declared Business Manager

11. Enclose additional sheet(s) in case this space is not sufficient

12. Enclose all documents / evidences that you want to be considered