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THE WEST BENGAL VALUE ADDED TAX RULES,2005
FORM – 16

[See sub-rule (4) of rule 38/38A/38B/38C/39]
[For payment of tax at compounded rate under sub-section (3) or sub-section(3A) or sub-section(3B) or subsection (6) of section 16 or sub-section(4) section 18]

    VAT RC NO  Date of Submission  CIRCLE NAME 

I/We Status carrying on Business under the Trade Name of

situated at

and holding certificate of registration No. as declared above under the West Bengal Value Added Tax Act.2003. particulars of which

are given below, do hereby exercise my/our option to pay tax at compounded rate for the period