FORM VAT- 41 [See Rule 25(3)) APPLICATION FOR CANCELLATION OF VOLUNTARY REGISTRATION CERTIFICATE UNDER SECTION 28(4) OF J&K VALUE ADDED TAX ACT, 2005 To The Jurisdictional Assessing Authority, Circle ...... Srinagar/Jammu. I............S/o/W/o..........R/o....... ..... being the proprietor./partner ...../......./ ....../of business known as M/s.................. having Registration No. ......... hereby apply for the cancellation of my registration in accordance with the provisions of Section 28(4) of the J&K Value Added Tax Act, 2005. I declare that I have filed all the returns and paid the entire tax due thereon and that there is no outstanding against me under the Act. Signature of the applicant Name.......... Status......... Seal............ Place: Dt.: