Application for Cancellation of Registration

Goods and Services Tax – GST REG – 16 – Form GST REG-16 [See Rule 20] Application for Cancellation of Registration 1 GSTIN 2 Legal name 3 Trade name, if any 4 Address of Principal Place of Business 5 Address for future correspondence (including email, mobile telephone, fax) Building No./Flat No. Floor No. Name of Premises/Building Road/Street City/Town/Village District Block/Taluka Latitude Longitude State PIN Code Mobile (with country code) Telephone email Fax Number 6. Reasons for Cancellation (Select one) Discontinuance/Closure of business Ceased to be liable to pay tax Transfer of business on account of amalgamation, merger/demerger, sale, lease or otherwise disposed of etc. Change in constitution of business leading to change in Permanent Account Number Death of Sole Proprietor Others (specify) 7. 1[In case of transfer, merger of business and change in constitution leading to change in PAN, particulars of registration of entity in which merged, amalgamated, transferred, etc.] (i)

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s 1. 2. Sub-Total Payment from ITC Ledger Sr. No. Debit Entry No. Central Tax State Tax UT Tax Integrated Tax Cess 1. 2. Sub-Total Total Amount of Tax Paid 12. Documents uploaded 13. Verification I/We < > hereby solemnly affirm and declare that the information given herein above is true and correct to the best of my/our knowledge and belief and nothing has been concealed therefrom.      Signature of Authorised Signatory Place : Name of the Authorised Signatory Date : Designation/Status Instructions for filing of Application for Cancellation • A registered person seeking cancellation of his registration shall electronically submit an application including details of closing stock and liability thereon along with relevant documents, on common portal. • The following persons shall digitally sign application for cancellation, as applicable: Constitution of Business Person who can digitally sign the application Proprietorship Proprietor Par

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submission of the application for cancellation. This application shall be made only after the new entity is registered. Before applying for cancellation, please file your tax return due for the tax period in which the effective date of surrender of registration falls or furnish an undertaking to the effect that no taxable supplies have been made during the intervening period (i.e. from the date of registration to the date of application for cancellation of registration).] • Status of the Application may be tracked on the common portal. • No fee is payable for filing application for cancellation. • After submission of application for cancellation of registration, the registered person shall make payment, if not made at the time of this application, and shall furnish final return as provided in the Act. • The registered person may also update his contact address and update his mobile number and e-mail address. ******** Note: 1. Substituted vide

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