Deregistration Form (STR-3)

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1 Sheet No. of 2 NTN STRN Income Tax Sales Tax Federal Excise - 3 Category Company Company Type Pvt. Ltd. Public Ltd. Small Company Trust Unit Trust Modarba Individual NGO Society Any other (pl specify) AOP AOP Type => HUF Firm Artificial Juridical Person Body of persons formed under a foreign law 4 Status Resident Non-Resident Country of Non Resident 5 CNIC/PP No. [for Individual only , Non-Residents to write Passport No.] Gender Male Female 6 Reg./ Inc. No. [for Company & Registered AOP only] Birth/ Inc. Date ` 7 Name Name of Registered Person (Company, Individual or AOP Name) 8 Address Registered Office Address for Company and Mailing/Business Address for Individual & AOP, for all correspondence Government of Pakistan Federal Board of Revenue Taxpayer De-Registration Form N° Token No. Registry De-Register From STR-3 8 Address Office/Shop/House /Flat /Plot No Street/ Lane/ Plaza/ Floor/ Village Block/ Mohala/ Sector/ Road/ Post Office/ etc Province District City/Tehsil Area/Town Activity Code 9 Principal Activity ` 10 Rep. Type In Capacity as CNIC/ NTN Name Address Office/Shop/House /Flat /Plot No Street/ Lane/ Plaza/ Floor/ Village Block/ Mohala/ Sector/ Road/ Post Office/ etc ` Province District City/Tehsil Area/Town 11 Phone Mobile Fax Area Code Number Area Code Number Area Code Number 12 E-Mail (e-Mail address for all correspondence) 13 Ceased to carry on business 14 Supplies have become exempt (Give details) 15 Taxable turnover during the last 12 months has remained below the threshold Authorized Rep. u/s 223 gistration Representative/ Authorized Rep. Representative u/s 172 15 (a) Please give the value of taxable supplies you made in last 12 month Rs. (b) Please give reason(s) for reduction in your taxable turnover (attach sheet, if necessary). 16 Transfer or sale of business (Attach proof) Merger with another person (Attach proof) Other (Please Describe) 17 18 19 Above Taxpayer's Registration is allowed for De-Registration with effect from Date - - with permission of this office. Request is being forwarded for necessary action at Registion Office. 20 Request regretted. Letter issued vide no. Dated - - 21 Name of RTO/LTU Declaration I, the undersigned solemnly declare that to the best of my knowledge and belief the information given above is correct and complete. It is further declared that any notice sent on the e-mail address or the address given in the registry portion will be accepted as legal notice served under the law. __________________________ Date CNIC/ Passport No. Official Area Reasons for De-Reg Name of Applicant SIGNATURES Signature & Seal of Taxation Officer 22 De-Registration is done and verified in Registration System on - - Signature & Seal of Registration Officer Reg. Office Signature & Seal of Taxation Officer

Transcript of Deregistration Form (STR-3)

Page 1: Deregistration Form (STR-3)

1 Sheet No. of

2 NTN STRN Income Tax Sales Tax Federal Excise -

3 Category Company Company Type Pvt. Ltd. Public Ltd. Small Company Trust Unit Trust Modarba

Individual NGO Society Any other (pl specify)

AOP AOP Type => HUF Firm Artificial Juridical Person Body of persons formed under a foreign law

4 Status Resident Non-Resident Country of Non Resident

5 CNIC/PP No. [for Individual only , Non-Residents to write Passport No.] Gender Male Female

6 Reg./ Inc. No. [for Company & Registered AOP only] Birth/ Inc. Date `

7 NameName of Registered Person (Company, Individual or AOP Name)

8 Address Registered Office Address for Company and Mailing/Business Address for Individual & AOP, for all correspondence

Government of PakistanFederal Board of Revenue

Taxpayer De-Registration Form

N° Token No.

Reg

istr

y

De-Register From

STR-3

8 Address Registered Office Address for Company and Mailing/Business Address for Individual & AOP, for all correspondence

Office/Shop/House /Flat /Plot No Street/ Lane/ Plaza/ Floor/ Village Block/ Mohala/ Sector/ Road/ Post Office/ etc

Province District City/Tehsil Area/Town Activity Code

9 Principal Activity`

10 Rep. Type In Capacity as

CNIC/ NTN Name

AddressOffice/Shop/House /Flat /Plot No Street/ Lane/ Plaza/ Floor/ Village Block/ Mohala/ Sector/ Road/ Post Office/ etc

`Province District City/Tehsil Area/Town

11 Phone Mobile FaxArea Code Number Area Code Number Area Code Number

12 E-Mail (e-Mail address for all correspondence)

13 Ceased to carry on business

14 Supplies have become exempt (Give details)

15 Taxable turnover during the last 12 months has remained below the threshold

Authorized Rep. u/s 223

Rea

sons

for D

e-R

egis

trat

ion

Rep

rese

ntat

ive/

Aut

horiz

ed R

ep.

Representative u/s 172

15 Taxable turnover during the last 12 months has remained below the threshold(a) Please give the value of taxable supplies you made in last 12 month Rs.

(b) Please give reason(s) for reduction in your taxable turnover (attach sheet, if necessary).

16 Transfer or sale of business (Attach proof) Merger with another person (Attach proof)

Other (Please Describe)

17

18

19 Above Taxpayer's Registration is allowed for De-Registration with effect from Date - - with permission of this office.Request is being forwarded for necessary action at Registion Office.

20 Request regretted. Letter issued vide no. Dated - -

21 Name of RTO/LTU

Dec

lara

tion I, the undersigned solemnly declare that to the best of my knowledge and belief the information given above is correct and complete. It is further declared that any

notice sent on the e-mail address or the address given in the registry portion will be accepted as legal notice served under the law.

__________________________Date CNIC/ Passport No.

Offi

cial

Are

aR

easo

ns fo

r De-

Reg

istr

atio

n

Name of Applicant SIGNATURES

Signature & Seal of Taxation Officer

22 De-Registration is done and verified in Registration System on - -

Signature & Seal of Registration OfficerReg

. O

ffice

Signature & Seal of Taxation Officer

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