No: 27150000799

FORM VAT-612

CLEARANCE CERTIFICATE
[ Refer sub-rule(2)of rule 129]

This is to certify that Sri/Smt

SANJAY JENA

NABAKRUSHNA JENA

son / daughter / wife of

(status) PROPRIETOR

OM SAI TECHNOLOGY STORE

of

bearing TIN/SRIN 21142700547

(i) is in arrear of tax/interest/penalty amounting to Rs. XXXXXXXXXX

(Rupees XXXXXX )
01/04/2014

for the period

to 31/03/2015

from

which is covered under stay;

Or

(ii) is not in arrear of tax/interest/penalty and has filed return up to the tax period ending on XXXXXXX

This certificate is valid till the 31st March,

2016

Assessing Authority
D.C.S.T., Bhubaneswar II
Circle , Near Sahid Nagar
Police Station , Bhubaneswar

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Place:
Date:

15/05/2015

* This is a system generated certificate and hence, no seal and signature is required.

To Verify this certificate, please go to the URL: https://odishatax.gov.in/Portal/Shared/CertificateSearch.aspx

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