THE RAJASTHAN VALUE ADDED TAX RULES, 2006 - FORMS
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Form VAT - 19

[See Rule 26 (1)]

Application for Grant of Installments

To,

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

Registration No. (TIN)

Name of Dealer / person

2. Address

Bldg. No/ Name/ Area

Town/City

District (State)

Pin Code

Email Id

Telephone Number(s)

Fax No.

4.	Section, under which order passed	___________________________________________
5.	Period to which the order relates	___________________________________________
6.	Demand created	___________________________________________
7.	Demand deposited	___________________________________________
8.	Balance Demand	___________________________________________
9.	Period and No. of Installments requested
10.	Grounds for installments
	_________________________________________________________________________________________
	_________________________________________________________________________________________
	_________________________________________________________________________________________

Place :		Signature
Date :
	Name :
	Status :

Verification

I verify that the information given in this form 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. Please read the instructions carefully

2. All the entries should be filled in capital letters

3. "Tick" applicable in option boxes

4. Please ensure that the form is complete Affix court fee stamp

5. Enclose proof of demand deposited

6. Enclose Attested copy of the order and notice of demand

7. Enclose additional sheet(s) if required

8. Enclose all documents that you want to be considered regarding your application

9. 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. Authorised Signatory, in all other cases, or

f. Business Manager