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 Building No./ Flat No. Floor No.
correspondence
(including email, Name of Premises/ Building Road/
mobile telephone, Street
fax )
City/Town/ Village District
Block/Taluka
Latitude Longitude
State PIN Code
Mobile (with country code) Telephone
email Fax
Number
o Discontinuance /Closure of business
o Ceased to be liable to pay tax
o Transfer of business on account of
amalgamation, merger/ demerger, sale,
Reasons for lease or otherwise disposed of etc.
6. Cancellation
o Change in constitution of business
(Select one)
leading to change in Permanent
Account Number
o Death of Sole Proprietor
o Others (specify)
7. In case of transfer, merger of business, particulars of registration of entity in which merged, amalgamated, transferred, etc.
(i) Goods and Services
Tax Identification
Number
(ii) (a) Name (Legal)
(b) Trade name, if
any
(iii) Address of Principal Building No./ Flat No. Floor No.
Place of Business
Name of Premises/ Building Road/ Street
City/Town/ Village District
Block/Taluka
Latitude Longitude
State PIN Code
Mobile (with country code) Telephone
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email Fax Number
8. Date from which registration is to be cancelled. <DD/MM/YYYY>
9 Particulars of last Return Filed
(i) Tax period
(ii) Application Reference Number
(iii) Date
10. Amount of tax payable in respect of inputs/capital goods held in stock on the effective date of cancellation of registration.
Input Tax Credit/ Tax Payable (whichever is
Value
higher) (Rs.)
of
Description
Stock Central State Integrated
UT Tax Cess
(Rs.) Tax Tax Tax
Inputs
Inputs contained in semi-finished goods
Inputs contained in finished goods
Capital Goods/Plant and machinery
Total
11. Details of tax paid, if any
Payment from Cash Ledger
Sr. No. Debit Entry No. Central Integrated
State Tax UT Tax Cess
Tax Tax
1.
2.
Sub-Total
Payment from ITC Ledger
Sr. No. Debit Entry No. Central Integrated
State Tax UT Tax Cess
Tax Tax
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
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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
Partnership Managing / Authorised Partners
Hindu Undivided Family Karta
Private Limited Company Managing / Whole-time Directors/ Chief Executive Officer
Public Limited Company Managing / Whole-time Directors/ Chief Executive Officer
Society/ Club/ Trust/ AOP Members of Managing Committee
Government Department Person In charge
Public Sector Undertaking Managing / Whole-time Directors/ Chief Executive Officer
Unlimited Company Managing / Whole-time Directors/ Chief Executive Officer
Limited Liability Partnership Designated Partners
Local Authority Chief Executive Officer or Equivalent
Statutory Body Chief Executive Officer or Equivalent
Foreign Company Authorised Person in India
Foreign Limited Liability Partnership Authorised Person in India
Others Person In charge
In case of death of sole proprietor, application shall be made by the legal heir / successor manually before the
concerned tax authorities. The new entity in which the applicant proposes to amalgamate itself shall register with
the tax authority before submission of the application for cancellation. This application shall be made only after
that 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.
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.
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