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 correspondence (including email, mobile telephone, fax ) Building No./ Flat No.   Floor No.  
    Name of Premises/ Building   Road/ Street  
    City/Town/ Village   District  
    Block/Taluka    
    Latitude   Longitude  
    State   PIN Code  
    Mobile (with country code)   Telephone  
    email   Fax Number  
6 Reasons for Cancellation
(Select one)
o Discontinuance /Closure of business
o Ceased to be liable to pay tax
o Transfer of business on account of amalgamation, merger/ demerger, sale, lease or otherwise disposed of etc.
o Change in constitution of business leading to change in Permanent Account Number
o Death of Sole Proprietor
o Others (specify)
 
7 In case of transfer, merger of business and change in constitution leading to change in PAN, 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 Place of Business Building No./ Flat No.   Floor No.  
    Name of Premises/ Building   Road/ Street  
    City/Town/ Village   District  
    Block/Taluka    
    Latitude   Longitude  
    State   PIN Code  
    Mobile (with country code)   Telephone  
    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.
  Description Value of Stock (Rs.)   Input Tax Credit/ Tax Payable (whichever is higher) (Rs.)
  Central Tax State Tax UT Tax Integrated Tax Cess
  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 Tax State Tax UT Tax Integrated Tax Cess
          1                                                                                                                              
  2            
    Sub-Total          

Payment from ITC Ledger

  Sr. No Debit Entry No. Central Tax State Tax UT Tax Integrated Tax Cess
  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 there from.

                                                              Signature of Authorised Signatory

Place Name of the Authorised Signatory
Date Designation / Status

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
Public Limited Company Managing / Whole-time Directors
Society/ Club/ Trust/ AOP Members of Managing Committee
Government Department Person In charge
Public Sector Undertaking Managing / Whole-time Director
Unlimited Company Managing/ Whole-time Director
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 (specify) Person In charge

In case of death of sole proprietor, application shall be made by the legal heir / successor 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 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 or furnish an application to the effect that no taxable supplies have been made during the intervening period (i.e. from the date of registration to the date of application for cancellation of registration).

●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.