Commercial Taxes Department
Government of Rajasthan

Application for Determination of Disputed Question

Name of Business*
Zone*	Select AJMER ALWAR ANTI EVASION - HQ BHARATPUR BHILWARA BIKANER GANGANAGAR JAIPUR I JAIPUR II JAIPUR III JODHPUR KOTA PALI UDAIPUR	Circle	Select	Ward	Select

Address
Bldg. No/Name/ Area*		Town/City*	Select (OSIAN) (PHALODI) (PIPAR CITY) ABU ROAD AHORE AJMER AKLERA ALWAR AMBER AMET ANTAH ANUPGARH ARNOD ASIND ATRU BAGIDORA BAGORA BAGRU BAIR BALI BALOTRA BAMANWAS BANERA BANSUR BANSWARA BARAN BARCHA BARI BARI SADRI BARMER BASERI BASSI BASWA BAYANA BAYTOO BEAWAR BEGUN BEHROR BHADESAR BHADRA BHAMANVAS BHARATPUR BHAWANIMANDI BHERDA BHILWARA BHIM BHINAY BHINMAL BHIWADI BHOPALGARH BIJAYNAGAR BIJOLIYA BIKANER BILARA BONLI BUHANA BUNDI CHAKSU CHAUTH KA BARWARA CHHABRA CHHATARGARH CHHIPABAROD CHHOTI SADRI CHIRAWA CHIRAWA(IV) CHITTORGARH CHOHTAN CHOMU CHURU DANTA RAMGARH DAUSA DEEG DEGANA DEOGARH DEOLI DESURI DEVGARH DHARIAWAD DHOLPUR DIDWANA DIGOD DUDU (HQ. MAUZAMABAD) DUNGARGARH DUNGARPUR DUNGLA FATEHGARH FATEHNAGAR FATEHPUR GANGANAGAR GANGAPUR CITY GANGDHAR GANGRAR GARHI GHARSANA GHATOL GIRWA GOGUNDA GUDHA MALANI GULABPURA HANUMANGARH HINDAUN CITY HINDOLI HURDA INDRAGARH JAHAZPUR JAIPUR JAISALMER JAITARAN JAITSAR JALORE JAMWA RAMGARH JAYAL JHADOL JHALAWAR JHALRAPATAN JHUNJHUNU JODHPUR KAMAN KANKROLI KAPASAN KARANPUR KARAULI KASRISINGHPUR KATHUMAR KEKRI KESHORAIPATAN KHAIRTHAL KHAJUWALA KHANDAR KHANPUR KHARCHI KHEENVSAR KHENDLA KHERLI KHERWARA KHETRI KISHANGANJ KISHANGARH KISHANGARH BAS KOLAYAT KOTA KOTKASIM KOTPUTLI KOTRA KOTRI KUMBHALGARH KUMHER KUSHALGARH LACHHMANGARH LACHMANGARH LADNU LADPURA LALSOT LUNI LUNKARANSAR MAHUWA MAKRANA MALARNA DOONGAR MALPURA MANDAL MANDALGARH MANDAWAR MANDRAIL MANGROL MANOHAR THANA MANPURA MARWAR JUNCTION MASUDA MAVLI MERTA MERTA CITY(VI) NADBAI NADOTI NAGAR NAGAUR NAINWA NASIRABAD NATHDWARA NAWALGARH NAWAN NAYAL NEEM-KA-THANA NIMBAHERA NIMBAHERA(V) NIWAI NOHAR NOKHA PACHPADRA PACHPAHAR PADAMPUR PAHARI PALI PARBATSAR PEEPLU PHAGI PHALNA PHULERA (HQ.SAMBHAR) PILANI PILIBANGA PINDWARA PIPALDA PIRAWA PISANGAN POKARAN POOGAL PRATAPGARH RAILMAGRA RAIPUR (Bhilwara) RAIPUR (Pali) RAISINGHNAGAR RAJAKHERA RAJGARH RAJGARH (Churu) RAJSAMAND RAMGANJ MANDI RAMGARH RAMSAR RANI RANIWARA RASHMI RATANGARH RAWATBHATA RAWATSAR RAYPUR REODAR ROHAT RUPBAS SADULSHAHAR SAGWARA SAHARA SALUMBER SALUMBER(IV) SAMBHAR LAKE SANCHORE SANGANER SANGARIA SANGOD SAPOTRA SARADA SARDARSHAHAR SARWAR SAWAI MADHOPUR SAWAI MADHUPUR(III) SAYLA SEPAU SHAHBAD SHAHJAHANPUR SHAHPURA SHAHPURA (Bhilwara) SHEO SHEOGANJ SHERGARH SIKAR SIKRAI SIROHI SIWANA SOJAT SRIMADHOPUR SUJANGARH SUMERPUR SURATGARH TARANAGAR THANAGAZI TIBI TIJARA TODABHIM TODARAISINGH TONK UDAIPUR UDAIPURWATI UNIARA VALLABHNAGAR VIJAY NAGAR MC VIJAYNAGAR VIRATNAGAR WEIR
District*		State*	Select Andaman and Nicobar Islands Andhra Pradesh Arunachal Pradesh Assam Bihar Chandigarh Chhattisgarh Dadra and Nagar Haveli Daman and Diu Delhi Goa Gujarat Haryana Himachal Pradesh Jammu And Kashmir Jharkhand Karnataka Kerala Lakshadweep Madhya Pradesh Maharashtra Manipur Meghalaya Mizoram Nagaland Orissa Overseas Puducherry Punjab Rajasthan Sikkim Tamil Nadu Telangana Tripura Uttar Pradesh Uttarakhand West Bengal
Pin Code*		Email Id*
Mobile Number*		Fax Number
3. Has the question arisen before any court proceedings ?*	Yes    No	If yes specify
4. Has the question arisen in any proceeding under Sec 22, 24,25 and 26*	Yes    No	If yes specify
5. Does the question arise from any order already passed ?*	Yes    No	If yes specify
6. What does the question relate to: Whether*
Any dealer is entitled to any particular amount of input tax credit
Any particular thing done to any goods amounts to or results in the manufacture of goods;
Any transaction is a sale, and if so the sale price thereof;
Any tax is payable in respect of any particular sale or purchase or if tax is payable, the point and the rate thereof;
Any particular dealer is required to be registered;
Any person is a dealer
7. Does the question relate to a transaction?*		Yes    No
If yes, then.
(i) Whether the transaction has taken place		Yes    No
(ii) If yes, then specify the tax period that the transaction relates to
From		To
8. Which are the disputed questions, on which determination is sought? Please explain it in detail.
9. Have you previously applied for determination on similar issue(s) ?*	Yes    No
10. If yes, then give details of determination
Enclose all documents/ evidences that you want to be considered (if any)	(Note: Please upload documents(.doc,.xls,.pdf) in ZIP format with maximum filesize of 5 MB. Enclosed Documents Filename length should be less than 50 characters.)

Payment Details

S.No*		Payment Mode*	Select e-Payment Manual
CIN No./GRN No.*		Date of Payment*
Amount*		Date of Dispute*

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