Maharashtra Value Added Tax Rules, 2005 FORMS
-

FORM-103

(See rule 11)

Application for cancellation of Registration Certificate

under Section 16 of the Maharashtra Value Added Tax Act, 2002

_________________________________

Subject:- Application for cancellation of Registration Certificate under section 16 of The Maharashtra Value Added Tax Act, 2002

I, the undersigned hereby apply for the cancellation of Registration Certificate issued or deemed to have been issued under the Maharashtra Value Added Tax Act, 2002. The details are as follows:

1) Registration certificate number under MVAT Act, 2002	_________________________________________________

2) Registration certificate number under CST Act, 1956	_________________________________________________

3) Name and style of the business	_________________________________________________

4) Name and the status of the applicant	_________________________________________________

5) Address of the principal place of business	_________________________________________________

Telephone No (with STD Code)	_________________________________________________

Fax No. (with STD code)	_________________________________________________

e-mail	_________________________________________________

6) Address for correspondence, if it is different from the address given at Sr. No. 5	_________________________________________________ _________________________________________________ _________________________________________________

Telephone No (with STD Code)	_________________________________________________

Fax No. (with; STD code)	_________________________________________________

e-mail	_________________________________________________

7) Application for cancellation of the certificate of registration under the Maharashtra Value Added Tax Act 2002, is on account of-

(a) * the said business having been discontinued with effect from_______________________________

(b) * the said business having been transferred to M/s________________________________________

In accordance with the section 44 with effect from___________________________________________

(f)* the turnover of sales and the turnover of purchases of the said business during the year__________ having failed to exceed the threshold limit specified in section 3(4), the details of which are as follows:-

Period	The turnover of all sales of all places of business In Maharashtra		The turnover of all purchases of all places of business in Maharashtra
	Taxable goods (Rs.)	Tax free goods (Rs.	Taxable goods (Rs.)	Tax free goods (Rs.)
(1)	(2)	(3)	(4)	(5)

(h) * Other reasons (Please Specify)

Declaration:

I,__________________________hereby solemnly declare that what is stated herein above is true to the best of my knowledge and belief.

Date________________________	Signature__________________________
Place________________________	Status____________________________

* Strike out whichever phrase/clause is not applicable

ACKNOWLEDGEMENT

Name of the Applicant

Name and Style of Business

Registration Certificate No. under MVAT Act, 2002

Received application in Form-103 for cancellation of the Certificate of Registration issued under the MVAT ACT, 2002

Date_____________________	Signature of the Receiving Officer _____________________
Place____________________	Designation____________________________