FORM  55

[See rule 75(2)(b)]

Application for obtaining declaration Form-49

To,

The Commercial Tax Officer,  

Circle- 115

Indore.

Sir,

 we are carrying on business under the name and style of M/s Sarvottam Vegetable Oil Refinery Pvt. Ltd. situated at 34, Sector- A, Sawer Road Induswtrial Area (city / town/village) Indore Tehsil Indore  District Indore and holding TIN 23461502388 under the Madhya Pradesh Vat Act, 2002. 

1.            We request that one (number) books of declaration Form 49  containing 25 forms in triplicate forms  be supplied to us, the fee for which We have paid vide Challan /MPTC receipt No.__________ Date ____________for Rs..____. 

2.         We declare that our TIN mentioned above is in force and has not been cancelled  till   this date.

 

    *Signature of the Proprietor/ Manager/Secretary

of the Company/partner of the firm 

Received____________Books containing form No. from____to  ___________ 

                                                                                                                Signature of the dealer or

his authorized representative

*Strike out whichever is not required.

 

 ACKNOWLEDGMENT OF FORM  55

Received application for issuance of 25(number) Form 49 along with challan /MPTC receipt No.__________Date__________for Rs..________from M/s. Sarvottam Vegetable Oil Refinery Pvt. Ltd. TIN 23461502388 on dated                      at __________ (time).

 

            Form 49 will be issued  on dated __________ at __________ (time).

    Seal of office                                                                                               signature of the receiving clerk