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The Orissa Entry Tax - Forms
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FORM E18

[See rule 5 (1)]

REGISTRATION CERTIFICATE

I hereby certify that ___________________________ status _______________, whose principal business activities comprise _______________________ and whose Principal place of business/place of business is situated at :-

  Village/Holding No.  
  Locality  
  Ward No.  
  Corporation/Municipality/N.A.C./  
  Town/City.  
  Post Office PIN
  Police Station  
  District  

is registered under clause (b) of sub-section (2) of Section 5 of the Orissa Entry Tax Act, 1999 and is assigned with Identification Number.

  Identificatin No.
 
 

  With effect from
D D - M M - Y Y Y Y
                   
 

02. The additional place of business, branch, godown or warehouse is situated at the following address:

Additional Place of business/Branch Godown/Warehouse
 
 
 
 		  

03. The following goods or class or classes of goods are purchased or intended to be purchased or received otherwise than by way purchases for resale or sale.

Description of goods or class or classes of goods
1.
2.
3.
4.
5.
 
6.
7.
8.
9.
10.
 

04. The following goods are purchased or intended to be purchased or received otherwise than by way of purchases for use as capital goods, raw materials, consumables, fuels directly in the manufacture of goods and packing materials, for sale.

Capital goods Raw materials Consumables Fuel Packing material
1.
2.
3.
4.
5.
6.
7.
 
1.
2.
3.
4.
5.
6.
7.
 
1.
2.
3.
4.
5.
6.
7.
 
1.
2.
3.
4.
5.
6.
7.
 
1.
2.
3.
4.
5.
6.
7.
 

05. The following goods are manufactured or produced as by-product for sale:

Description of goods manufactured
Taxable Tax free
1.
2.
3.
4.
5.
6.
 
1.
2.
3.
4.
5.
6.
 
 
Description of By-products produced.
Taxable Tax free
1.
2.
3.
4.
5.
6.
 
1.
2.
3.
4.
5.
6.
 
 

06. The following goods are purchased or intended to be purchased or received otherwise than by way of purchases for use in the execution of works contract.

 
Description of goods or class or classes of goods
1.
2.
3.
 
4.
5.
6.
 
 		  

07. The following goods are purchased or intended to be purchased or received otherwise than by way of purchases for use in mining/generation or distribution of electricity or any other form of power inside the State of Orissa.

 
Description of goods or class or classes of goods
1.
2.
3.
 
4.
5.
6.
 
 		  

08. Given under my hand at __________on the ______ day of _______200.....

09. Your local Tax office is _______________________________CIRCLE.

Seal  
  REGISTERING AUTHORITY SALES TAX OFFICER
  ________________CIRCLE

Note:

· Score out whichever is not applicable

· Use block letter

· No box shall be left blank

· When not applicable, the box shall be crossed and stamped "NOT APPLICABLE".

· Registration Certificate shall be displayed at a conspicuous place of Principal place of business.

· Copy of Registration Certificate shall be displayed at a conspicuous place of each additional place of business mentioned in such Certificate.