Submit by Email
Form 65-A
(See rule 81-A)
Option under clause (a) of section 55-A of
the Madhya Pradesh VAT Act, 2002
To,
-------------------------------------------------------------------------------------I......................................................................... ...
....................................................(Address)
holding
TIN
(Name of the dealer)
........................(if
any)
under
the
Madhya Pradesh Vat Act, 2002 hereby give the option for payment of lump sum in respect of
the amount of evasion of tax agreed to by me at the time of requisition or inspection under
clause (a) of section 55-A of said Act. of Rs........................(in figures) Rs........................(in
words) for the block period from ................. to ................. the lump-sum amount of Rs.
.................(in
figures)
Rs.................(in
no..................dated .................which is enclosed.
words)
has
been
paid
vide
Challan
2. I undertake that I shall not challenge the amount of evasion of tax agreed to by me in
any
forum.
Place.................
Date .................
........................................
Signature of the dealer
*Strike out whichever is not
required
____________________
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