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Annexure IV

FORM

Reference No. ___________________ Date ____________

To ____________________

____________________

____________________

1. GSTIN :

Legal Name:

2. RERA registration Number of the Project :

3. Name of the project, if any :

4. The location of :

5. The number of Unit : type : Total carpet area :

6. Date of receipt of commencement certificate:

Declaration

1. I hereby exercise the option to pay tax on construction of apartments in the above
mentioned project as under :

I shall pay tax on At the rate as specified for At the rate as specified for
construction of the item (ie) or (if), against item (i) or (ia) or (ib) or (ic)
apartments: serial number 3 in the Table or (id), against serial
(put tick mark in provided in the Central Tax number 3 in the Table
appropriate box) (Rate) Notification No-3 provided in the Central Tax
dated 29th Mar 2019 (Rate) Notification No-3
dated 29th Mar 2019
Old rate 12% New rate 1% or 5%

2. I understand that this is a onetime option, which once exercised, shall not be allowed to

be changed.
3. I also understand that invoices for supply of the service can be issued during the period

from 1st April 2019 to 10th May 2019 before exercising the option, but such invoices

shall be in accordance with the option being exercised herein.

Place __________________ Signature ___________________

Date __________________ Name _______________________

Designation _________________

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