Form A-IV
(See rule 30)
Office of the _____________________ of Commercial Taxes ______________________ Circle
To,
The___________________________________
___________________________________circle.
I ____________________________ (full name) son of ___________________________________ (full name) hereby apply for the grant of clearance certificate under section 42 of the Bihar Value Added Sale Tax Act, 2005 and furnish the following particular for that purpose
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DECLARATION
I do hereby declare that particulars furnished in this application are correct and complete to the best of my knowledge and belief.