Andhra Pradesh Value Added Tax Rules, 2005- Forms
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FORM VAT 100

APPLICATION FOR VAT REGISTRATION

[ See Rule 4 (1) ]

Submit in duplicate

Use separate sheet where space is not sufficient.

Affix Passport Size Photo of Sole Proprietor. In case Partnership firm/Companies/others Affix photos of responsible persons on VAT 100B

The Commercial Tax Officer,

VAT Registering Authority,

__________________Circle.

01 Name of the business to be registered:

02 Address of Place of business:

Door No:	Street
Locality	Town/City
District	Pin Code
Phone No:	Fax No:
Email:	Website/URL

03 Occupancy Status: Owned/Rented/Leased/Rent-free/Others

04 Name & Address of the Owner of business :

(Residential Address of the Person responsible ie., Managing Partner /Managing Director for business).

Name:
Father/Husband Name:
Date of Birth:	Street
Door No.	Town/City
Locality	Pin Code
District	Fax No.
Phone No
Email:

05. Status of business: (Mark "v" where applicable)

Sole Proprietorship

Partnership

Private Limited Co.,

Public Limited Company

Govt. Enterprise

Others (Specify)

06 Nature of Principal business activities:

07 Principal Commodities traded:

08 Bank Account Details:

	Bank Name :	Branch & Code	Account No.
1.
2.
3.

09 Income Tax Permanent Account Number: (PAN)

10 Address of additional places of business/ Branches/Godowns

(including those outside A.P): Use form VAT 100A

11 Particulars of owner/Partners/Directors etc.,:

Use Form VAT 100B

12 Language in which books are written:

13 Are your accounts computerized:

YES

14 Date of first taxable sale

Date

Month

Year

15 Turnovers of taxable sales of goods including zero rate in:

(a) last 3 months: Rs.

(b) last 12 months: Rs.

16 Anticipated turnovers of taxable sales of goods including zero rate in:

a) The next 3 months Rs.

b) The next 12 months Rs.

17 Anticipated Turnover of exempted sales of goods and

transactions in the next 12 months:

18 Are you applying for voluntary registration:

YES

19 Are you applying for registration as

Start up Business:

YES

20 Indicate your GRN Number, if any:

Have you applied for CST Registration

YES

21. Registration Number (if any Under Profession Tax Act:

22 Do you expect your input tax to regularly exceed your output tax? If yes Why ?

YES

23 Are you applying for registration in response to a notice by the Tax Officer ?

YES

If yes, indicate the Notice number.

24. Any other relevant information like are you availing Tax incentives ? If so write details.

Declaration:

I______________________________ S/o________________________________ Status_________________

of the above enterprise hereby declare that the particulars given are correct and true to the best of my knowledge and belief. I undertake to notify immediately to the registering authority in the Commercial Taxes Department of change in any of the above particulars.

Date of application

Signature with Stamp.

FOR OFFICE USE ONLY

25 Date of receipt of application
26 Activity/Commodity Code
27 Exempt Indicator
28 Voluntary Registration Indicator
29 Startup Business Indicator
30 CST Indicator
31 Refund Indicator
32 Works contract Indicator.
33 Suo motu Registration Indicator
34 Special Rates - Schedule - VI goods Indicator
35 Tax Incentives Indicator
36 Date of issue of Registration Certificate
37 Effective date of Registration
38 Date of refusal of Registration
39 Taxpayer Identification Number (TIN):

Processing Authority	Registering Authority
Name	Name
Designation	Designation

IMPORTANT:

(a) Copy of Proof of Identity of the sole proprietor/managing partner /managing director / responsible person for the business like copy of passport, voter Identity card, Proof of bank account, Credit Card, Ration Card, Driving license etc., must be enclosed.

(b) Please fill in and enclose Form VAT 100A and 100B if found necessary.

25 to 39 : For office use only.