THE WEST BENGAL VALUE ADDED TAX RULES, 2005

FORM 72

Statement of payment of tax deferred under section 116 of the West Bengal Value Added Tax Act, 2003

[ See rule (3) of rule 172 ]

Name of the dealer .........................................................................................carrying on business under the trade name of ......................................................................Address of the dealer ................................ holding Certificate of Registration No. .................................. and Certificate of Eligibility for deferment of output tax issued under section 116 and rules made thereunder and the date of issue of such Certificate of Eligibility is .......................................... ........................

Location of the newly set-up industrial unit/expanded portion of an existing industrial unit/sick or closed industrial unit where goods were manufacture/goods were used in manufacture and in respect of which output tax was deferred.

Amount of output tax deferred as shown above has been paid by me by challan Number ........................................... Dated ......................................... at the appropriate Government Treasury at ...............................................................).

The above statement is true to the best of my knowledge and belief.

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