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ANNEXURE-VI
 
To download the form    
FORMAT-I
APPLICATION FORM FOR SALES TAX EXEMPTION UNDER - IPR-1996 (NEW UNITS)
 
1.  Name and addresss of the Unit                                       :
 
2.  Address of registered Office of the organisaiton               :
 
3.  Type of Industrial unit i.e. Handicraft/ Khadi/Village/
     Cottage/ Small/Medium/Large/Pioneer/Labour
     Intensive/ Priority industry.                                              :
 
4.  Nature of transaction i.e. manufacture & sale of sales
     through outlets of authorized co-operative/
     Government agencies.                                                     :
 
5.  Regn. No. (Xerox Copy of certificate to be attached),
     if any.                                                                              :
 
6.  Investment as on the date of production.
                a.  Land                                                               :
                b.  Building                                                           :
                c.  Plant & Machinery                                           :
                d.  Working capital                                               :
                e.  Borroowing from OSFC/IPICOL/                     :
                     Bank to be specified.
                f.   Defaulting dues of OSFC/IPICOL/Sales Tax    
                     dues or clearance certificate to be furnished.      :
 
7.  Date of first fixed capital investment on land or
     building or plant and m/c may be specified and copy
     of documents to be furnished.                                            :
 
8.  Date of commercial production (copy of document to
     be furnished)                                                                      :
 
9.  Requirement of raw-materials M/c and spare parts
as per the annual capacity                                               :
 
Raw Material/Packing material
Item
Quantity
Value
 
1.
2.
3.
 
 
 
M/c spare parts
1.
2.
3.
 
 
 
10.   Products manufactured as per the
                    Sl. No.                 Item                         Quantity                                 Value
                       1.
                        2.
                        3.
11.   Registration no. under
                                                               OST
                                                &             CST
 
 
                I, Sri ……………………………. At present …………………….. (Designation) of …………………….. (name of the Industry) do hereby declares that the facts stated above are true to the best of my knowledge. I request for issue of sales tax exemption certificate on purchase of ramaterials machinery, spare parts, packing materials/sale of finished products/deferement certificate for sales tax on sale of finished product under IPR-1996 as mentioned hereunder.
Sl. No.
Item
Specification
Annual requirement in quantity
 
 
 
 
 
 
 
                                                                                 Signature of Proprietor/Mg. Part.
                                                                          Chief Executive of M/s. with designation &
                                                                                              Official seal

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