FORM 17
Application for certificate of eligibility for tax holiday under section 39/ Deduction from turnover of sales under section 17A (3) (d)
See rule 55/rule 62A (3) and rule 100 (1)
To
The Deputy Commissioner/Assistant Commissioner,
........................................................................... Circle/Section,
Directorate of Commercial Taxes, Government of West Bengal
I .............................................................................. son of ................................................................. Proprietor/Partner/Karta/Principal Office/ Director/Managing Director, on behalf of the persons whose particulars are given below/Hindu Undivided Family/Company carrying on business under the trade name of ............................... situated at ........................................................... hereby apply for a certificate of eligibility for tax holiday under section 39/Deduction from turnover of sales under section 17A (3) (d) of the West Bengal Sales Tax Act, 1994 or renewal through in respect of the newly set-up small scale unit established by me/ us within the area ................................. to manufacture .................... (specify the goods) for sale.
2
3. It is hereby declared that -
(a) The aforesaid newly set up industrial unit has been established solely or substantially with plant or machinery, other than the plant or machinery used by another newly set up small scale industrial unit which has earlier availed of the benefit of exemption from tax under rule 55 or benefit of deduction from turnover of sales under sub-rule (3) of rule 62A. (b) The amount of investment in the aforesaid industrial unit or plant and machinery including the value of those obtained on hire, lease, rent or loan, but excluding the value of land, building and the cost of generator and moulds is ............. rupees (state the amount in words). (c) I/We keep vouchers and documents to prove the investment in the aforesaid newly set up industrial unit and separate accounts in respect of the said unit : (d) I/We issue serially numbered bill/cash memo in respect of sales of goods manufactured in the said industrial unit and keep purchases bill/ cash memo for purchase of goods for use directly in the manufacture of goods in that industrial unit. The above statements are true to the best of my knowledge and belief.
(a) The aforesaid newly set up industrial unit has been established solely or substantially with plant or machinery, other than the plant or machinery used by another newly set up small scale industrial unit which has earlier availed of the benefit of exemption from tax under rule 55 or benefit of deduction from turnover of sales under sub-rule (3) of rule 62A.
(b) The amount of investment in the aforesaid industrial unit or plant and machinery including the value of those obtained on hire, lease, rent or loan, but excluding the value of land, building and the cost of generator and moulds is ............. rupees (state the amount in words).
(c) I/We keep vouchers and documents to prove the investment in the aforesaid newly set up industrial unit and separate accounts in respect of the said unit :
(d) I/We issue serially numbered bill/cash memo in respect of sales of goods manufactured in the said industrial unit and keep purchases bill/ cash memo for purchase of goods for use directly in the manufacture of goods in that industrial unit.
The above statements are true to the best of my knowledge and belief.