THE RAJASTHAN VALUE ADDED TAX RULES, 2006 - FORMS
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Body

FORM WT 1

Application for grant of Exemption Certificate

(for dealers engaged in execution of works contracts)

The Assistant Commissioner

The Commercial Taxes Officer/Assistant Commercial Taxes Officer,

Circle/Ward _________________

1. Name of the Applicant. .......................................

2. Name and address under which the applicant carries on business...........................

3. Registration Certificate No. (TIN)......................

4. e-mail address:..........................................

5. Mobile No:.....................................

6. Status of the applicant such as Proprietor / Partner / Director / Karta of H.U.F. / Manager / Secretary.

7. Period during which works contract be executed: from............to...........

8. Option of exemption fee under clause 1. Option A ........... Option B

9. Particulars of works contract (s):

Sl. No	Name and address and the Awarder along with e-mail Address	Description of the dealer	Date of award of the contract
1	2	3	4

Description of Works contract	Stipulated period for completion of the contract	Total value of the contract	Place of execution of work	exemption fee (% of total value of Contract)	Amount Exemption fee (Rs.)
5	6	7	8	9	10

I/We hereby undertake that I/ we shall abide by all the terms and conditions laid down by the State Government or any provisions of the Act or Rules made there under and if I /We fails to do so, I/We shall be liable to pay tax as per the provision of the Act.I/We also undertake to pay the revised exemption fee in case Exemption Certificate is revised.

I/We declare that the information given above is true and correct to the best of my/our knowledge and belief and nothing has been concealed.

Signature of the applicant and his status.

Attachments:

1. Scanned copy of work order.

2. Scanned copy of G-Schedule.

3. Scanned copy of certificate of awarder, if applicable.

4. Proof of payment of late fee. if applicable.