APPLICATION FORM FOR GRANT OF FRESH CERTIFICATE OF REGISTRATION AND ALLOTMENT OF TAXPAYER IDENTIFICATION NUMBER (TIN)
(Please read the instructions carefully before filling the application form)
INSTRUCTIONS
Acknowledgement
Received an application from the applicant mentioned below for allotment of TIN under section 17(2) of the Maharashtra Value Added Tax Act, 2002.
Designation & Stamp _________________________________
FORM - 108
(See rule 8A)
Application for grant of Fresh Registration Certificate and allotment of Taxpayers Identification Number (TIN) under section 17(2) of The Maharashtra Value Added Tax Act, 2002
I hereby apply for grant of fresh certificate of registration under section 17(2) of The Maharashtra Value Added Tax Act, 2002.
1) Name of the Business (in block letters) (keep one box blank between two words)
2) Full address of the principal place of business
3) Contact details (with STD code)
4) Full address of the additional place(s) of business / Godown(s) / Warehouse(s) in Maharashtra (If space is insufficient please take photocopy of this page and attach)
a) First additional place of business
b) Second additional place of business
c) Third additional place of business
5) Constitution (Please tick the appropriate box)
6) Principal nature of business (Please tick the most appropriate box only )
7) Nature of business (Please tick the appropriate box(es))
8) Have you opted for composition scheme ? (If yes, please tick the appropriate box(es) (Please refer leaflet No. MVAT 106 for eligibility & details of Composition Scheme)
9) Main commodities sold
10) Main commodities purchased
11) Address(s) in other state(s) and corresponding TIN under C.S.T. Act (If space is insufficient please take photocopy of this page and attach)
a) Address in first State
b) Address in Second State
c) Address in Third State
d) Address in Fourth State
12) Details of declarations under CST Act, last issued by the department to the dealer
(If space is insufficient please take photocopy of this page and attach)
13) Details of unused declarations under CST Act, surrendered (if necessary, separate sheet may be attached)
14) Utilization details of Statutory Declarations under CST Act.
(Details to be given in respect of forms last issued by the department)
If space is insufficient please take photocopy of this page and attach)
15) Tax Payment history of last three years (Amount in Rs.)
16) Details of Proprietor / Partner / Director / Members of Managing Committee / all person having any interest in the business (including the members of Hindu Undivided Family Business). Not to be filled in if the applicant is a Department of Government. (If space is insufficient please take photocopy of this page and attach)
17) Details of Bank Account (s)
18) Whether the records are computerized ? (Please tick the appropriate box)
19) Details of Entitlement Certificates under Package Scheme of Incentives
The abvoe information is true to the best of my knowledge and belief.
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FOR OFFICE USE ONLY