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Form IV


The industrial unit which is entitled for additional period of benefit of exemption in terms of Government Order No. 4/5/2005-Fin(R&C) dated 05-12-2012, shall file an application in Form-IV, in duplicate, before the Commissioner within 60 days from the date of coming into force of the said Order. The application must be complete in all respects and the option for inter-State sales (whether exemption/NPV) must be clearly set out therein. Further, self-attested copies of the following documents  need to be enclosed to Form IV:


  1. VAT Registration Certificate
  2. Acknowledgement-cum-Order in Form II
  3. Acknowledgement in Form V (if issued earlier)
  4. Permanent SSI Registration certificate alongwith all endorsements thereto (if applicable)
  5. Clearance of HPCC conveyed by Directorate of Industries & Mines (if applicable)
  6. Copy of Acknowledgement issued by Secretariat for Industrial Approvals, Ministry of Industry, Government of India (if applicable)
Next    FORM VAT- III (* NEW)
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Commissioner of Commercial Taxes, Vikrikar Bhavan, MG Road, Panjim, Goa, India. Ph.:0832-2229225
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