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(Mark "v ", whichever is applicable)

(a) the turnover has fallen short of Rupees Twenty Lakh for three consecutive years; and

(b) there is no sale or purchase of goods in course of inter-state trade and commerce; and

(c) there is no dispatch or receipt of goods otherwise than by way of sales to or purchases from outside the state; and

(d) there is no import of goods from or export of goods to outside the territory of India ;

I hereby exercise my option to pay turnover tax in lieu of VAT.

and

I may, therefore, be issued with a certificate of registration in Form VAT 002 and assigned with SRIN.

I __________________ son / daughter / wife of _____________________________

status _______________________ of the above mentioned business hereby declare that the particulars furnished in this form are correct and true to the best of my knowledge and belief.

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Signature

Status with relation to the business