FORM VAT-612 -A

CLEARANCE CERTIFICATE

[Refer sub-rule (2)(b) of rule 129]

This is to certify that Sri/Smt._______________son/daughter/wife of _________________ (status)__________________ of M/s.________________ is not in arrear of any tax / interest / penalty / has no liability to pay tax under the Orissa Value Added Tax Act, 2005.

This certificate is valid till the 31st March,______________.