24 October 2010
Form-2C Central Sales Tax (Delhi) Rules,1957 (See Rul-4(1) A)] APPLICATION FOR ISSUE OF FORMS
To, The Sales Tax officer, Ward No -
(1). Please issues us the Statutary declaration forms as per the Requisition Account submitted by us with the last returns of Assessment year . …………………… (Copy attached)
Please issue statutary declaration forms, as per the details below, in adavcne which are required for ………………………………………………………………………………………………………………….. …………………………………………………………. (Mention purpose)
Type of Form Number Form - C
(2). I/we hereby certify that we have utilized and issued to the selling dealer, the declaration forms last issued by the Department to me according to the requisition / utilization account in Form-2A furnished by me at the time of filing the return (s) (3). I/we cetify that due return (s) have been filed for all quarters/ months till .. …….. (mention period ending) and the tax due as per return(s) has been paid (4). I/we hereby certify that we have not defaulted in payment of the amount of tax assessed or penalty imposed by the assessing authority so far, in respect of which no orders for installmengt/stay has been obtained from the competent authority. (5). I/we hereby certify that in cases where the installment / stay has been obtained, from the competent authorities as per law, we have also sustantially complied with the terms & conditions subject to which such stay / installment orders were granted. (6). Please deliver ………. Forms of a regular employee of firm, whose authorization is already on record of the Department. I/ We hereby declare that above information is true and correct to the best of my knowledge & belief.
Signature of the Authorized Person…………………………….. Signature of Dealer…………………………
Name ………………………………. Name of Dealer ……
TIN No.
Date :……………… Place Verification Report of Record keeper (1) Return filed upto…………………………. (2) Dues clearance report………………….. (3) Items allowed / Not allowed……………. (4) Signature of dealer tallying/not tallying (5) Signature /Photograph of Authorized person tallying/not tallying (6) Utilization Account Filed/Not filed.(If applicable) (7) Purchase vouchers tally/ does not tally with requisition account (8) Adverse material, if any …………………………………………… (9) Any other ……………………………………………………………
Order of Assessing Authority
Signature of A.A. Vide Notification No.F-4(21)/98-Fin.(G) (i) dt.30.09.1999