Chhattisgarh Commercial Tax Act - 1994

FORM 01

[See Rule 5(3)]

Application for licence u/s 18 of the Chhattisgarh Commercial Tax Act, 1994.

 

To,

The Commercial Tax Officer,

…………………….….. Circle.

 

1.         I / We* ………………………………….…………… resident of  …………………………………………. Tehsil …………………. District ………………. carry on the business of selling goods ………………………. here specify the goods specified in Schedule IV appended to the said Act in which the applicant carries on business) and request that I/We may be granted a Licence for the year ending on ………………….. u/s 18 of the Chhattisgarh Commercial Tax Act, 1994.

 

2.         I / We * enclose a treasury receipted Chalan for Rs. ……………….. in words Rs. ………………… …………………………………………….. only being half of the estimated annual fee for the licence.

 

3.         My / our * turnover /* taxable turnover due to sales of such goods for the year for which licence is applied is estimated at Rs. ……………….. in words Rs. ………………………………… ………… …………… …….. only. During the preceding two years the turnover /*taxable turnover of such goods was

Year	Turnover / Taxable Turnover
[1]	[2]

 

4.         My /*our principal place of business is situated at    I / we have additional place of business at 1.            ………….        2.         …………..       3.         ……………

 

5.                  In addition to the goods for which the licence is applied for, I/We deal in the following goods, and turnover due to the business of such goods during the year ended ………………. was as under:-

Goods	Turnover
[1]	[2]

 

6.                  I / we hereby undertake that if I/*we fail to abide by any condition of term of licence granted to me/ us. I/*we shall pay tax on the sale of purchase of goods in accordance  with the  provisions of section 20 of the said act

 

 

Signature of the applicant

 

            I/*we ………………………  do hereby declare that what is stated herein is true to the best of my/*our knowledge and belief.

 

Place   :     …………………..

Date    :     ………………….

Signature