FORM 107-C
(Read the Trade Circular No. 3 T- of 2006)
Application for administrative relief in cases of change in constitution and change
of place of business
To,
________________________
________________________
________________________
_______________
I hereby apply for revalidation of my Registration Certificate under Bombay Sales Tax Act,1959 and for
grant of administrative relief provided for in the Trade Circular ___ T of 2006.
24. Name of the Applicant (in capital letters)______________________________________________
_______________________________________________________________________________
25. Registration Certificate No. of the dealer under the Bombay Sales Tax Act, 1959.
_______________________________________________
26. *No. & date of R.C. cancellation order, if received by the dealer
______________________________________
27. Name and style of business (in capital letters)
____________________________________
_________________________________________________________________
28. I hereby declare that, my registration certificate under the Bombay Sales Tax Act, 1959 has been
cancelled / was liable to be cancelled on the following grounds:
29. *I have taken a fresh BST/VAT R.C. w.e.f.__________________________having R. C. number
_____________________________________________________________
30. I am submitting my old BST RC for revalidation
31.I have continued my business during the URD period
32.I am enclosing self-attested copies of the all the returns due (including annual returns) for all the
un-assessed periods, upto November 2005
33.The period of relief sought for / continuation of my old BST RC is from _____________ to
_____________
34.*Form No. 108 is being submitted along with this form.
The above statements are correct and true to the best of my knowledge and belief.
Strike off whichever is not applicable.
Place
Date
Seal/stamp of the
dealer
Seal Stamp of the dealer
Signature status and authority thereof