FORM 24A

Application for permission under sub-section (3) of section 17C of the West Bengal Sales Tax Act, 1994, to make payment of tax at compounded rate on sales of lottery tickets.

[See rule 175(1)]

To

The .................................................... (Appropriate assessing authority)

I, ............................................... (name and status of the person) of the business ........................................... (name and style) situated at ........................................................................ (address) and holding certificate of registration No. ............................ under the West Bengal Sales Tax Act, 1994, do hereby apply under sub-section (3) of section 17C to exercise my option to pay tax on sales of lottery tickets at compounded rate in accordance with the provisions of the said sub-section in lieu of making payment of tax on such sales in accordance with the provisions of section 17.