Form 43

                                      Form 43 (See Rule 9-H)

 Form of application by a dealer for obtaining clarification/advance ruling under Section 12-C of the Karnataka Tax on Entry of Goods Act, 1979
Before the Authority for clarification and Advance Rulings
Applicantion No.of
1.Name(s) of the applicant(s)............................
2.K.S.T. No........................................
3.K.T.E.G. No...................
4.Jurisdictional assessing authority...........................
5.Clarification on rate of tax applicable on which commodity (commodities) / exigibility of transaction involved on which advance ruling is required (specify).....................................
6.Statement of the relevant facts having a bearing on the aforesaid clarification(s) / transaction (s)..................
7.Statement containing the applicant’s understanding of rate of tax / exigibility in respect of the aforesaid clarification (s) / transaction (s).....................................................................................
8.List of documents / statements attached......................................................
9.Particulars of fee accompanying the application..................................................
                                                                                             
                                                                                                (Signed) Applicants(s)
                                                                                            (Signed) Authorised Representative”
VERIFICATION
I/We ......................................................... the applicant / applicants do hereby declare that what is stated above is true to the best of my / our knowledge and belief. I/ We also do hereby declare that the question raised in the application is not pending any officer or authority of the Department or Appellate Tribunal or any Court.
(Signed) Applicants(s)