Andhra Pradesh Value Added Tax Rules, 2005- Forms
-

FORM VAT 121

APPLICATION TO CANCEL VAT REGISTRATION.

[ See Rule 14 (2) ]

01. Tax Office Address :

____________________________________

Date

Month

Year

TIN

Name:______________________________________________________________________________

Address : ___________________________________________________________________________________

___________________________________________________________________________________

I apply to cancel my VAT registration with effect from

Date :

Reason(s) for the cancellation of registration: Delete (i) (ii) or (iii) if not applicable)

(i)

My business closed on:

Date :

(ii)

The value of my taxable turnover over the previous 3 calendar months was

Value :

And the value of my taxable turnover over the previous 12 calendar months was

Value :

(iii)

I request to cancel my voluntary registration which was registered with effect from.

Date :

The value of my taxable turnover over the previous 3 calendar months was :

Value :

The value of my taxable turnover over the previous 12 calendar months was:

Value :

The reasons for the application under (i), (ii) or (iii) above are : .......................................................................

........................................................................................................................................................................................

I undertake that I must account for VAT on any stock or assets on hand on which I have received refund of input tax, and file a final tax return and pay the VAT due prior to the cancellation of my registration.

11. DECLARATION

I......................................................... status ..............................................of the above business hereby declare that the information given in this Form is true and correct.

Signature & Stamp ______________ Date of decalration

Date

Month

Year

Please see Notes on the Reverse of this Form

OFFICE USE ONLY

Date of application received

Checked arrears of VAT..................................................................................................................................

Confirmation from Return Processing Section - Tax Arrears ......................................................................................

Final Return issued .....................................................................................................................................

Final Return Received .................................................................................................................................

For Verification

YES/NO

Date of cancellation from

Date of Form VAT 122 issued

Date of Form VAT 123 ( refusal of cancellation ) issued

Date of Form VAT 124 issued

ASST. COMMERCIAL OFFICER,

PROCESSING AUTHORITY

__________________ CIRCLE.

COMMERCIAL TAX OFFICER,

REGISTERING AUTHORITY

__________________ CIRCLE.