Form A-II Application for Cancellation of Certificate of Registration under section 20 of the Bihar Value Added Tax Act, 2005 (See rule 5) Office of the .................................................................................. of Commercial Taxes ...................................................................................Circle To, The ........................................................................... .................................................................................................................... circle. I ................................................................................................... (full name), son of ...................................................................................................... (full name) hereby apply for cancellation of the said certificate and furnish following particular for that purpose - 1. Name and style of business ........................................................................................................................................................................................ ........................................................................................................................................................................................ 2. Taxpayer Identification No. ......................................................................................................................................................................................... 3. Grounds on which cancellation of Registration Number is applied for: (a) .......................................................................................................................................................................................................................................................................... (b) .......................................................................................................................................................................................................................................................................... (c) .......................................................................................................................................................................................................................................................................... 4. Value of entire stock remaining unsold on the date with effect from which cancellation is applied for ............................................................................................................................................................................................................................................................................................ 5. Details of forms submitted under the Bihar Value Added Tax Rules, 2005 as well as the Central Sales Tax (Registration and Turnover) Rules, 1957 along with this application (a) .......................................................................................................................................................................................................................................................................... (b) .......................................................................................................................................................................................................................................................................... (c) .......................................................................................................................................................................................................................................................................... (d) .......................................................................................................................................................................................................................................................................... (e) .......................................................................................................................................................................................................................................................................... (f) .......................................................................................................................................................................................................................................................................... 6. Address to which communication should be sent ......................................................................................................................................................................................................................................................................................... ......................................................................................................................................................................................................................................................................................... 7. (a) Period upto which returns have been filed ......................................................................................................... (b) Period up to which admitted tax has been paid ......................................................................................................... (c) Amount of any tax, interest or penalty remaining ......................................................................................................... unpaid on the date of applying for cancellation ......................................................................................................... and details thereof: ................................................................................................................................................................................................................. -2 - VERIFICATION I do hereby declare that the above particulars are correct and complete to the best of my knowledge and belief. Place ................................................... Signature of the Applicant .......................................................... Date ................................................... Status/Designation ........................................................................ The application shall be signed by the proprietor of the business, if an individual; by the Karta, if an undivided Hindu family; by authorized partner in the case of a firm; by a Managing Director, Managing Agent or Principal Executive Officer in the case of a Company or Corporation; by the Principal Executive Officer or Officer-in-charge in the case of a society, club, association, department of Government or local authority.
