FORM ST-58A

[See Rule 71(a)]

Application for allotment of Tax Deduction Number

To,

The Assessing Authority,

____________________________,

Jammu/Srinagar.

1. I, _________________________________________ s/o d/o w/o _______________________________

on behalf of the ________________________________________________________________ [Government Department (Central or State)/Local Authority/ Corporation/ Government Company/Cooperative Society/Board] hereby apply for the allotment of Tax Deduction Number (TDN) under Section 16-C of the Jammu and Kashmir General Sales Tax Act, 1962.

2. Name and address:

a) Head Office.

b) Branch office.

3. Status and designation of the person who makes this application.

4. Whether the person who makes the application is Drawing & Disbursing Officer, if not, name the DDO

5. Nature of taxes deducted:

a. Works contract

b. Any other service

6. Year adopted for maintenance of accounts

7. Language and script in which accounts are maintained.

8. Name(s) and addresses (s) of banker(s) in the State & account numbers.

9. TAX (Tax deduction Account Number) alloted by Income Tax Department, Govt. of Inida

Declaration

I, hereby declare that the particulars given above are correct and true to the best of my knowledge and belief.

Notes:-

i. The application should be signed by a person authorized to sign it under rule 73 of the J&K GST Act, 1962;

ii. Receipt of for having paid fee of Rs. _____________________ in the treasury shall also be attached with the application.