THE KERALA VALUE ADDED TAX RULES, 2005 - Forms
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THE KERALA VALUE ADDED TAX RULES, 2005

FORM NO. 5 replaced by new Form No. 1B w.e.f 01-04-2011

FORM OF APPLICATION FOR RENEWAL OF REGISTRATION

[ See Rule 17 (17) ]

VAT OFFICE ADDRESS

Date:

TIN*

*TIN= Tax Payer's Identification Number

1. Name & full postal address of the dealer (the trade name shall also be given)		:	RENEWAL SOUGHT FOR THE YEAR :
3. (I) Is there any change in the principal place of business		:	Yes/No.
(II) If yes, give full postal address with building No.		:
Furnish full address of existing branches with building No		:
4. (I) Is there any change in the branches		:	Yes/No.
(II) If yes, give full postal address of the branches with building No.		:
5. (I) Is there any change in the constitution of the business		:	Yes/No.
(II) If yes, give complete details		:
(Proprietor ship/ partnership company/ association of persons or body of association of individual or artificial judicial person, give full particulars)
Furnish full address of existing branches with building No		:
(III) If any partner has been newly added or has retired (give full address of the partner(s) newly added/retired)		:
6. (I) Is there any change in the godowns		:	Yes/No.
(II) If yes, give complete details of the godowns
	(a) Newly added	:
	(b) Vacated	:
7. Nature of business (specify whether Presumptive tax/VAT dealer
(a) Trader		:
(b) Manufacturer		:
	(i) SSI Unit	:
	(ii) Medium Scale Unit	:
	(iii) Large Scale Unit	:
8. Details of goods
	(a) Manufactured	:
	(b) Purchased	:
	(c) Sold	:
(additional sheet if necessary)
9. Total turnover for the previous year		:
10. Amount of Registration fee paid:
	(a) For the principal place of business	:
	(b) For branches	:
	(with particulars of remittance)

DECLARATION

I..............................son of.....................................................hereby declare that to the best of my knowledge and belief the information contained in this application given above are true and correct.

Place:

Date:

Name, address and signature of the Person signing the application with status and relationship to the dealer (here state whether proprietor, Manager Director, Partner etc)