ANNEXURE-VI FORMAT-I APPLICATION FORM FOR SALES TAX EXEMPTION UNDER - IPR-1996 (NEW UNITS) 1. Name and address of the Unit : 2. Address of registered Office of the organisaiton : 3. Type of Industrial unit i.e. Handicraft/ Khadi/Village/ Cottage/ Small/Medium/Large/Pioneer/Labour Intensive/ Priority industry. : 4. Nature of transaction i.e. manufacture & sale of sales through outlets of authorized co-operative/ Government agencies. : 5. Regn. No. (Xerox Copy of certificate to be attached), if any. : 6. Investment as on the date of production. a. Land : b. Building : c. Plant & Machinery : d. Working capital : e. Borroowing from OSFC/IPICOL/ : Bank to be specified. f. Defaulting dues of OSFC/IPICOL/Sales Tax dues or clearance certificate to be furnished. : 7. Date of first fixed capital investment on land or building or plant and m/c may be specified and copy of documents to be furnished. : 8. Date of commercial production (copy of document to be furnished) : 9. Requirement of raw-materials M/c and spare parts as per the annual capacity : Raw Material/Packing material Item Quantity Value 1. 2. 3. M/c spare parts 1. 2. 3. 10. Products manufactured as per the Sl. No. Item Quantity Value 1. 2. 3. 11. Registration no. under OST & CST I, Sri ............ At present .......... (Designation) of .......... (name of the Industry) do hereby declares that the facts stated above are true to the best of my knowledge. I request for issue of sales tax exemption certificate on purchase of ramaterials machinery, spare parts, packing materials/sale of finished products/deferement certificate for sales tax on sale of finished product under IPR-1996 as mentioned hereunder. Sl. No. Item Specification Annual requirement in quantity Signature of Proprietor/Mg. Part. Chief Executive of M/s. with designation & Official seal
