Form A-XII
[See rule 57(2)]
Office of the __________________ of Commercial Taxes _________________ Circle
To,
The___________________
______________________circle.
I _______________________ (full name), son of ____________________ (full name) hereby apply for the grant of a deferment under section 96 of the Bihar Value Added Tax Act, 2005 and furnish the following particulars for that purpose -
.......................................................................................
DECLARATION
I do hereby declare that the particulars furnished in this application are correct and complete to the best of my knowledge and belief.
The application shall be signed by the proprietor of the business if an individual; by the Karta, if an undivided Hindu family; by an authorized partner in the case of a firm; by a managing director, managing agent or principal executive officer in the case of a company or corporation; by the Principal executive officer-in-charge of in the case of a society, club, association, department of Government or local authority.
ACKNOWLEDGEMENT
Received on_________________ from _______________________ an application in Form A-XII for deferment of tax payable under the Bihar Value Added Tax Act, 2005.
Signature _____________________
Designation ___________________