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FORM VAT- II

[See rule 15(1)]


REGISTRATION CERTIFICATE UNDER SECTION 18 OF THE GOA VALUE ADDED TAX ACT, 2005


(Act 9 of 2005).


(1) TIN
           
(2) WARD
 
(3) NAME AND STYLE OF
BUSINESS
 
(4) PRINCIPAL PLACE OF
BUSINESS
 
(5) NATURE OF BUSINESS
 
(6) ADDRESS OF ADDITIONAL
PLACE OF BUSINESS, IF ANY:
(i)
(ii)
(7) ADDRESSES OF
WAREHOUSES, IF ANY:
(i)
(ii)
(8) DATE OF LIABILITY
DDMMYYYY
   

(9) DATE OF VALIDITY-
Registration is valid from
DD MM YYYY
          
to
DD MM YYYY
          

(10) Dealer manufactures for sale the following classes of goods:-

(11) The return in Form VAT - III is to be furnished by the dealer quarterly alongwith the receipt of the payment of Tax.

Date:-





(Seal of Assessing Authority)
  

____________________

Assessing Authority

__________________

Ward

___________________________________________________________________________________________


NOTE


(1) This Registration Certificate or copy thereof shall be displayed by the dealer at every place of business and it shall be produced for inspection on demand by any person exercising authority under the Act and rules.

(2) Any change in the name, place or ownership of the business or number of places of business should be notified within 30 days and the Registration Certification got amended accordingly.

___________________________________________________________________________________________


RENEWAL


Date of RenewalPeriod to which renewedSignature of Appropriate Assessing Authority
   
   
   
   
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Commissioner of Commercial Taxes, Vikrikar Bhavan, MG Road, Panjim, Goa, India. Ph.:0832-2229225
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