Department of Goods Tax Government of Arunachal Pradesh Form FF 05 (See Rule 11 of the Arunachal Pradesh Goods Tax Rules, 2005) Application for Withdrawal from Simplified Accounting Scheme 1. Registration Number __________________________________________________________ 2. Full Name of Applicant Dealer __________________________________________________________ 3. Nature of business __________________________________________________________ 4. Tax Period from which Simplified Accounting Method was started to be used 5. Type of Simplified Accounting Method Used 6. Tax Period from which withdrawal sought 7. Reason for withdrawal from composition (in detail) __________________________________________________________ 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 Authorized Signatory Name Designation Place Date
