Download Application for Registration for Existing Dealer under the Repealed Act

APPLICATION FOR VAT REGISTRATION FORM JVAT 100 [See Rule 3(i) and 3(x)(a)] Information to be furnished by a dealer registered under the Adopted Bihar Finance Act, 1981 or a dealer whose Application submitted for Registration under the Act ibid, is pending. To The Registering Authority ......... Circle/Sub­Circle. I/We ............. Proprietor/Partner(s)/Karta of HUF/Principal Officer managing the business/affairs of the Company/Society/Association of Persons/Club/Head of the Department or any other officer duly authorised by him in writing, of the business, details of which are given below, hereby furnish the following information in respect of my business for the purpose of grant of registration certificate under sub­rule 3(i) of Jharkhand VAT Rules 06. 1. Name of the Dealer : 2. Registration Certificate Number under the Adopted Bihar Finance Act 1981 (Part­I). 3. Registration Certificate Number under the Central Sales Tax Act 1956. 4. DateofLiability D D 0 M M 0 Y Y 5. Date of Validity 6. Date of submission of Application for grant of Registration under Jharkhand VAT Act 05, which is pending as on Appointed Day [See Rule 3(ii)]. 7. Principal Place of Business and contact number(s). 8. 9. Constitution of the business ( ) whichever is applicable Address Phone/Mobile : City Fax: District E­Mail: Permanent Account Number of the Dealer(s)/Business (PAN) Proprietorship Public Limited Company Board or Corporation Government Department Partnership HUF Association of Persons Others Private Limited Company Co­Operative Society Club 10. Nature of Business ( ) whichever is applicable Manufacturing Exporter Distributor Local Authority Mining Whole Sale Trade Stockist Importer Power Generation / Distribution Retail Trade C & F Agent Others Works Contractor Restaurant Govt. Company 11. (a) Principal Commodities in which the business deals in and (b) The items codes therein 12. Details of Bank Account(s) Name of Bank with address Type of account Account Number 13. Details of immovable properties owned wholly or partly by the business. Sr. Description of property Address where property is Approximate Share No. situated value Percentage 14. Script in which account books are maintained. 15. State: whether your accounts are computerized : Yes / No (please tick) 16. The names, addresses and other details of the proprietor, each of the partner, Karta of HUF and each director (in case of private limited company) are attached as Annexure­I. 17. A copy of the partnership deed and Memorandum of Articles of Association is enclosed. 18. The details of additional place(s) of business/units/branches are attached as Annexure­II. 19. The details of security furnished are attached as Annexure­III. 20. The details of closing stock as on Appointed Day are attached in JVAT 114. 21. Passport size (self signed) photograph(s) of the proprietor, each of the partner, Karta of HUF and each director (in case of private limited company) is/are pasted below. I/We ______________________________ do hereby solemnly affirm and declare that the information contained in this application, including Annexures attached herewith, is true and correct to the best of my/our knowledge and belief. Signature ........... Place : Status............. Date: Full Name ............. DECLARATION (i) I/We hereby undertake to abide by the provisions of the Jharkhand Value Added Tax Act, 2005 and the Jharkhand Value Added Tax Rules, 2006. (ii) A signboard in the name of my/our business has already been displayed at all the business premises. (iii) That the books of accounts in respect of the said business are being maintained and shall be found at the said business premises. Place...... Signature Status............. Date Full Name ............. (Signature of other partners in case of partnership business) (1) Place.... Signature..... (2) Place.... Signature...... Full Name ...... Full Name ...... Date.... Status........ Date..... Status.......... (3) Place.... Signature..... (4) Place.... Signature...... Full Name ...... Full Name ...... Date.... Status........ Date..... Status.......... (For office use only) Acknowledgements receipt No. ...... Date ......... Circle ...... Signature and Stamp of Authorised Person Information about Proprietor, each Partner (in case of partnership business)/Director (in case of Private Company) separately and Karta of HUF 1. Full Name in Capitals ________________________________________________ 2. Father's Name in Capitals ________________________________________________ 3. Status ________________________________________________ 4. Extent of interest in business ________________________________________________ 5. Permanent Address House No. ____________ Sector/ Street ____________ City _________________ District __________________ State ________________ Pin_____________________ 6. Present Address House No. ____________ Sector/ Street ____________ City _________________ District __________________ State ________________ Pin _____________________ 7. Details of all immovable properties owned: Sr. No Full address where property is situated Approximate value Extent of share 8. Particulars of other business(s) in which the person has interest Sr.No. Name of business Address Extent of share VERIFICATION The above details are true and complete to the best of my knowledge and belief and nothing has been concealed therein. Place____________ Date____________ Signature of the person concerned * Strike out which are not applicable Details of Additional places of business/units/branches Serial Complete Address Use of premises­factory/ Telephone No. godown/ office/ sale outlet/ Number any other (to be specified) VERIFICATION The above details are true and complete to the best of my knowledge and belief and nothing has been concealed therein. I further declare that I shall inform the department whenever there is a change in the information provided in this Annexure. Signature .......... Place____________ Full name__________________ Date____________ Status____________________ * Strike out which are not applicable Annexure -III (To be attached with Form JVAT 100/101/103)* [See Rule 3(i), 3(v), and 3(x)(a) & 4(i)] (Details of Security Furnished) Serial No. Name of the surety Type of Security Amount Name and TIN under the VAT Act of the business in which surety has an interest Date of expiry (in case of Bank guarantee) VERIFICATION The above details are true and complete to the best of my knowledge and belief and nothing has been concealed therein. I further declare that I shall inform the department whenever there is a change in the information provided in this Annexure. Signature ___________________ Place____________ Full name ___________________ Date____________ Status ______________________ * Strike out which are not applicable