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

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

Renewal registration - Presumptive Tax Dealer

[See Rule 17(17)]

Date:

TIN*

PIN*

**TIN=Tax Payer's Identification Number

*PIN=Presumptive Tax Payer Identification Number

C.S.T.Rc. No.

The Registering Authority,

VAT OFFICE ADDRESS

SIR,

Please renew my/our registration under Kerala Value Added Tax Act, 2003 */ Please re -register me as a presumptive tax dealer for the year ......................* as per particulars furnished hereunder:

1. Name and full address of the principal place of business with phone, fax, E-mail etc.

2. Particulars of branches with phone etc

3. Particulars godowns or other places where goods are stored

4. Period to which renewal is sought

5. Amount and made of payment of renewal fee

6. Status of the business

7. Total turnover for the previous year conceded

8. Whether any change in constitution to the business

or change in name or shifting in business place effected

10. If so, furnish full particulars (Documents to be enclosed)

I/ we certify that what is stated above is true and correct to the best of my/ Knowledge and belief

SEAL

Signature, name and state of the signatory

*strikeout which ever is not applicable