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THE RAJASTHAN VALUE ADDED TAX RULES, 2006 - FORMS
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Form VAT-69A

(See Rule 17A)

Application for permission to pay tax in lump sum for developer or builder

To,

The Assessing Authority

________________________

________________________

I submit my application as follows for the grant of permission to pay tax in lump sum under rule 17A of Rajasthan Value Added Tax Rules, 2006 for the period commencing from _____________ .

The Details of my business are as under :

1 TIN
2 Name of the Applicant :
3 Name of the Dealer :
4 Address :
5 Email Id:
6 Contact Number
7 Detail of the project :
  a. Name of Project :
  b. Site Address of the project :
  c. Estimated cost of project :
  d. Estimated period of completing project from……… to ……………
8   Name of project approving authority:

I/We declare that the information given above is true and correct to the best of my/our knowledge and nothing has been concealed and I shall abide by all the conditions specified in relevent rule.

Place : Signature
Date : Designation: