FORM-I

Application for grant of Sales Tax Clearance Certificate

(To be submitted in duplicate)

  1. Name and address of the applicant:
  2. Status and relationship of the person who make this application with respect to the business (i.e. Manager/proprietor/Partner/ Director of the business)
  3. The Sales Tax Circle/Circles in which the applicant is assessed to tax
  4. Registration Number and date of issue.
  5. Whether interested in individual or fiduciary capacity in any Company, Firm, Association of persons carrying on business in Odisha or in course of Inter-State trade and if so name and place of the concern to be given.
  6. Date from which assessed to tax
  7. The amount of outstanding dues (out of the amount shown under item-7) covered by stay order:
  8. Quarter/s Amount No.and date of stay order.

  9. Whether the attachment or certificate proceedings pending in respect of the arrears

The above statements are true to the best of my/our knowledge and belief.

Date……………………… Signature of the applicant

Certified that the dealer has paid up the arrears dues (not covered by stay) up to the quarter ending on ……………. .. This certificate will remain valid for the year form the date of issue.

Place…………………………………… Assistant Commissioner/

Date…………………………. Sales Tax Officer

 

FORM II

Application for Registration Under Section 9 and 9-A/9-C of the Odisha Sales Tax Act, 1947

To

The (Assistant) Sales Tax Officer

…………………………..Circle.

I……………………….son of …………………………..am the Manager / Principal Officer / Parter / Partner / Proprietor / Authorised Departmental Office of the business known as ………. the particulars of which are detailed below, hereby apply for registration in respect of the said business for a certificate of registration under the Odisha Sales Tax Act, 1947.

Nature of the business (enter here whether it is wholly/ mainly/partly agriculture, horticulture, mining, manufacturing, execution of works contract or import, wholesale or retail distribution, general merchandise or catering or purchase of combination of any two or more)

Status (enter here individual, Hindu undivided family Firm, Limited Co’ Association of persons, etc; as the case may be)

Location of place of business

Address of office or any other place where notices and communications should ordinarily be despatched.

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2. (i) The name and address of the proprietor/the names and address of the partners of the business/of all persons having any interest in the business together with particulars of father’s name, etc are shown in the statement below.

(to be filled in if the applicant is not a Company incorporated under the Indian Companies Act, 1956 or under any other law.

Sl.No.

Name

Father’s Name

Designation (proprietor/ partner/manager/ principal Officer)

Home address (permanent address)

Nature and extent of interest in the business Signature of the person having interest in the business

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(ii) A copy of the deed of partnership (in case of a partnership firm) is enclosed.

3.(i) The name and address of the Chairman/ Managing Director, and Directors of the Company if the applicant is a Company under the Indian Companies Act, 1956 or under any other law.

Sl.No.

Name

Father’s Name

Home Address (Permanent address)

Designation

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5

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2.

3.

4.

5.

6.

       

 

Signature of the Managing

Director of the Company

  1. A copy of the Memorandum and Articles of Association, certificate of incorporation are enclosed.
  1. The proprietor of, any partner of, or any other person having any interest in the business has interest in no other business anywhere in India/has interest in the following other business in India :-

Name of the Proprietor Partner or other Person

Name and Particulars of business

Address of the place of business

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The business in respect of which this application in made has been registered with the Registrar of Joint Stock Companies…………………………(Name of the State) on……………………………………..

  1. The accounts of the business are kept in the ……………………..language and ………………..script.
  2. The gross turnover of the business, (including that at its branches) during the period not exceeding twelve months, commencing from……………….and ending on ………..having exceeded Rs……………………..being Rs………………….( in words) …….. the dealer becomes liable for registration under section 9 of the Odisha Sale Tax 1947 with effect from………………….
  3. Or

    The business having commenced on………….and the gross turn over thereof including those at its branches during a period not exceeding twelve months, having not exceeded the non-taxable limit, being only Rs…………………..till…………(date), the liability for registration of the dealer under section 9 has not ensured. This is an application of voluntary / provisional registration under section 9-A/9-C.

  4. The following classes of goods are ordinarily purchased by the dealer :-
    1. For resale
    2. Goods intended to be used in the manufacture or processing of goods for sale, or in mining or in generation or distribution of electricity or any other form of power.
  1. (a) The dealer does / does not import goods direct from other countries / States.
  2. (b) Description of goods imported by the dealer.

  3. The proprietor, partner or interested persons are members of …………………(here enter the name of the Chamber of Commerce or Trade Association, etc. of which the dealer is a member.)
  4. The dealer has additional places of business and warehouses (in Odisha) at the address enumerated below.
  5. The principal place of business of the dealer in the State of Odisha is ……………….
  6. Particulars of immovable properties owned by the dealer (whether in Odisha or elsewhere in India). In case of partnership particulars in respect of all the partners should be furnished.
  7. Description

    Location

    Nature and extent of property right

    Estimated value

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    4

     

     

         

     

    Note : The attested true copes of document in support of the above particulars in respect of immovable property shall be enclosed.

  8. Particulars of registration certificate, if any, under the Odisha Sales Tax Act held by the dealer or any other person associated with the business carried on by the dealer.

Name of the dealer

R.C. Number

Date of issue

Name of the Circle under which the dealer is presently assessed.

Name and Address of the proprietor / partner / Manager / Principal Officer/ Chairman/ Managing Director

Remarks

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2.

3.

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6.

         

14. Particulars of registration certificate, if any, under the Central Sales Tax Act held by the dealer or any partner or any member or any director or any other person associated with the business carried on by the dealer (indicate the name of circle from which the certificate has been obtained with the number and date of issue.

 

Name of the dealer

R.C. Number

Date of issue

Name and Address of the proprietor/ partner/ Manager/ Principal Officer/ Chairman/Managing Director

Remarks

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5

6

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2.

3.

4.

5.

6.

       

 

    1. Sales Tax dues, if any outstanding against the dealer, or any partner, any member or any director or any other person associated with the business carried on by the dealer.
Year to which dues relates Whether under OST Act or CST Act R.C Number Amount outstanding Reasons for outstanding Signature of the person against whom the dues are outstanding

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FORM IV

 

Return of Tax Payable for the quarter/ month ending…………………………….

Day of ………………………………19

[ See rules 20 (1),21 to 25 ]

Name of the dealer……………………………………………………………

Carrying on business under the trade name of………………………………………………………………..

Address in full : ……………………………………………………………

Registration Certificate No…………………………………………………

  1. (1) Amounts received and receivable in respect of
  2. sale of goods, (other than those on which purchase tax is payable) inside the State during the period.

    (2) Amounts of purchase price paid and payable in respect of purchase or supply of goods on which purchase tax is payable inside State during the period.

    Total………………

    Deduct cash discount allowed according to the ordinary trade practice, but separately shown as such.

     

    Gross turnover………….

  3. Deductions………………………………………..
  1. Turnover of sale or purchase of goods exempted from levy of tax.
  2. Turnover on goods sold to registered dealers from whom declarations in Form XXXIV have been obtained.
  3. Turnover on any other sales specifically exempted.
  4. Collection of sales tax, if any.
  5. Value of purchases of goods on which purchase tax is payable but which are purchased from registered dealers.

Total………………..

  1. Taxable turnover (A-B)
  2. Break up of taxable turnover –
  3. (i)

    (ii)

    (iii)

    (iv)

    (v)

    Total Tax payable…………

    Deduct tax paid at Check-gate or deemed

    To have been paid prior to Registration

    Under proviso to Rule 36……………..

  4. Tax paid amounting to Rs………………………………………………….

(in words) (Rupees……………………………………………only under

Challan No. Treasury

P.M. ack. Date of Post Office…………. Is enclosed

Bank draft/ crossed cheque. Bank

1[F. Surcharge (if any) paid amounting to Rs……………………………..

(in words) (Rupees……………………………………………only under

Challan No. Treasury

P.M. ack. Date of……………..Post Office…………is enclosed

Bank draft/ crossed cheque. Bank

I declare that the above statements are true to the best of my knowledge and belief.

Proprietor/Partner/Manager/Principal Officer.


FORM -IV-C

Return of total turnover by casual (Dealer)

To

The Assistant Sales Tax Officer/Sales Tax Officer.

            I…………………………. Son of ………………………… on behalf of the dealer Shri ………………………………… carrying on business known as …………. furnish herewith the statement of total turnover for the said business during the period commencing from ………………………. (date) at ending ……………….. (date) and give the following connected particulars.

    1. Status or relationship of the person who signs this return (Manager, Partner, Proprietor, Agent,etc.)
    2. Name of the principal place of business (if any(s) of the State of Odisha) and address.
    3. Name (s) of the other places of business
    4. (if any, in the State of Odisha) and address of every such place(s)

    5. Date of commencement of the business

 

Description of goods subject to the rate of tax Quantity

Value

Total Turnover

Tax due on the turnover

Tax provisionally paid

Balance

 

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2

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7

At 1 percent

At 2 percent

At 3 percent

At 5 percent

At 7 percent

           

I/We …………………….. declare that to the best of my/our knowledge and belief the information in the above statement is true and complete.

Place ……………. Signature …………………

Date ……………. Status/and relation to the dealer

 

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