FORM VAT-109

INTIMATION OF SALE OF BUSINESS TO A REGISTERED DEALER

[Refer sub-rule (9) of rule 29]

03. The business under the name and style of, M/s._________________________________ with its principal place of business at _______________________ and branches/ additional place of business at _________________________ has been sold/disposed of by way of Sales on _______________ to a dealer, M/s ___________________, whose place of business/principal place of business is situated at ________________________.

04. The purchaser is registered under the Orissa Value Added Tax Act, 2004 and is in possession of a valid TIN________________________________ / SRIN_____________________________

05. The sales comprise the following:

(a) stock in trade

(b) furniture and fixtures

(c) place of business/godowns or warehouse

(d) plant and machinery

(e) others, if any (please specify)

06. The sale is covered by a sale deed executed on ______________, (copy to be furnished).

07. The consideration received for the sale of different items of goods are as under:

(Details of the items and consideration received there against to be furnished in a separate sheet)

08. If the sale takes place in course of a tax period, the return upto the date of sale is to be furnished in Form VAT 202 and copy of the return so furnished to be enclosed.

09. Inventory of the goods sold. (copy to be furnished)

10. Input tax credit carried forward, if any, on the date of sale as per the final return furnished.

11. Arrears of tax, interest, penalty, overdue return and any other amount under the Act outstanding for realisation, if any, are as under,

DECLARATION

12. I_____________________ son/daughter/husband of_________________status____________ of the above mentioned business do hereby declare that the information furnished in the form are true and correct to the best of my knowledge and belief. If there is any change in the information so furnished, the same shall be intimated immediately to the registering authority.