The West Bengal Sales Tax - Forms
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FORM 6

(See rule 26)

Application for provisional certificate under rule 26 of the West Bengal Sales Tax Rules, 1995

The Deputy/Assistant Commissioner,

Commercial Taxes ............ Circle/Section,

Directorate of Commercial Taxes,

Government of West Bengal.

I, ......................................., son of .................................. Proprietor/Partner/Karta/Principal Officer/Director/Managing Director on behalf of the persons whose particulars are given below/Hindu Undivided Family/Company carrying on the business known as ........................ situated at .................................. hereby apply on behalf of the said business for a provisional certificate under rule 26 of the West Bengal Sales Tax Rules, 1995.

I/We have established a bona fide business for manufacturing goods in West Bengal for sale. The annual saleable value of such goods will not be less than Rs. 50,000/-.

Copy of Partnership deed/Memorandum of Association is enclosed.

1.	Name of Proprietor/Partner/Karta
			Name/Signature attested by dealer registered under Sales Tax Act/Advocate and Address.
2.	Address of Proprietor/Partner/Karta/ Principal Officer/Directors/Managing Director
	(a)	Temporary
	(b)	Permanent
3.	(a)	Permanent Account No. under the Income Tax Act, 1961 of Proprietor/ Partner/Karta.
	(b)	Enrollment No. under the West Bengal State Tax on Professions, Trades, Callings and Employments Act, 1979 of Proprietor/Partners/Karta.
4.	Particulars of immovable assets of Proprietor/Partners/Karta
5.	Whether the Proprietor/partners/Karta/ Principal Officer/Directors/Managing Director, has any connection with any other business, if so, particulars of such business.
6.	Number of certificate of enlistment issued by the .............................. Municipal Corporation/ Municipality/Local authority
7.	Number of registration of the partnership fire/Certificate of Incorporation of the Company.
8.	Address of -		(a) Branch Office
			(b) Factory
			(c) Warehouse
9.	Amount of capital to be invested.
10.	Source of capital (in detail).
11.	Whether registered as a S.S.I. Unit, if so, the registration number.
12.	Class or classes of goods to be manufactured.
13.	Class or classes of goods which will be directly used in manufacturing the goods mentioned at Serial No. 12.
	(a) Plant & Machinery
	(b) Raw materials.

The above statements are true to the best of my knowledge and belief.

Date :	Signature :
	Designation :

* Strike out whichever is not applicable