Department of Goods Tax Government of Arunachal Pradesh Form TR-03 (See Rule 25 of the Arunachal Pradesh Goods Tax Rules, 2005) Application for Cancellation of Approval Certificate under Arunachal Pradesh Goods Tax Act, 2005 Checklist of Supporting Documents Please tick as applicable Mandatory Documents . Certificate of Approval issued to the Transporter Supporting Documents . Proof of discontinuance of business . Proof of closure of incorporated body . Proof of death of sole proprietor . Proof of dissolution of firm . Proof that the Transporter has cleared all dues to the department Others, please specify_____________________________ Reasons for Rejection (For Office Use Only) Please tick as applicable . Not attached Mandatory Support Document(s)__________________________________________________________ . Other __________________________________________________________________________________________ Please attach your tax return for the period ending on the effective date for cancellation of your registration. Please remember that if you are registered under the CST, you will have to file a separate application for the purpose of cancellation of CST Registration. 1. Approval Certificate Number __________________________________________________________ 2. Full Name of Applicant Transporter __________________________________________________________ 3. Trade Name __________________________________________________________ 4. Reason for . Discontinuance of business . Closure of incorporated body Cancellation. Death of sole proprietor . Dissolution of firm Tick one . Others, please specify ______________________________ 5. Effective date of Cancellation ___ ___ / ___ ___ / ___ ___ ___ ___ Date of the above event DD / MM / YYYY 6. Details of any government dues _______________________________ Verification : I/We _______________ hereby solemnly affirm and declare that the information given hereinabove is true and correct to the best of my/our knowledge and belief and nothing has been concealed therefrom. Signature of Authorised Signatory ________________________________________________ Name ________________________________________________ Designation ________________________________________________ Place ________________________________________________ Date ________________________________________________
