Form VAT - XIV [See rule 6(3)] Certificate of Composition of tax under section 7 of the Goa Value Added Tax Act, 2005(Act 9 of 2005). 1. TIN 2. Ward 3. Name & Style of business: 4. Address of the principal place of business: 5. Nature of business: 6. Period of validity of Certificate of Composition of tax :- Certified that the dealer has been granted permission for compounding of tax under section 7 of the Goa Value Added Tax Act, 2005 (Act 9 of 2005). The dealer shall furnish quarterly return in Form VAT - IV alongwith the receipt of the payment of Composition Tax. The application for renewal of the certificate should be made within 30 days from the date of its expiry. Place: Date: (Seal of Assessing Authority) _____________________ Assessing Authority .....Ward RENEWAL Date of renewal Year for which renewed Signature of Appropriate Assessing Authority