Form VAT - 19 [See Rule 26 (1)] Application for Grant of Installments To 4. Section, under which order passed _________________________________________ 5. Period to which the order relates _________________________________________ 6. Demand created _________________________________________ 7. Demand deposited _________________________________________ 8. Balance Demand _________________________________________ 9. Period and No. of Installments requested _________________________________________ 10.Grounds for installments Place : Signature Date : Name : Status Verification I verify that the information given in this form and its enclosures (if any) is true and correct to the best of my knowledge and belief and nothing has been concealed Place : Signature Date : Name : Status Instructions 1. Please read the instructions carefully 2. All the entries should be filled in capital letters 3. Tick . applicable in option boxes 4. Please ensure that the form is complete Affix court fee stamp 5. Enclose proof of demand deposited 6. Enclose Attested copy of the order and notice of demand 7. Enclose additional sheet(s) if required 8. Enclose all documents that you want to be considered regarding your application 9. This Form should be verified and signed by: a. Proprietor, in case of Proprietorship concern b. Managing Partner, in case of Partnership firm and where there is no Managing Partner, by all the partners if there is no registered. Partnership deed and in case of a registered partnership deed by any one of them. c. Managing Director or authorized signatory, in case of a Company d. Karta, in case of Hindu Undivided Family e. Authorised Signatory, in all other cases, or f. Business Manager
