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<wordtidy><div> <div align="center" style="margin-top:2.25pt;margin-right:200.45pt; margin-bottom:0cm;margin-left:199.45pt;margin-bottom:.0001pt;text-align:center"><strong>FORM XXI</strong></div><div align="center" style="margin-top:2.25pt;margin-right:200.45pt; margin-bottom:0cm;margin-left:199.45pt;margin-bottom:.0001pt;text-align:center"><strong><br></strong></div> <div align="center" style="margin-top:1.15pt;margin-right:4.6pt; margin-bottom:0cm;margin-left:3.45pt;margin-bottom:.0001pt;text-align:center">(See rule 28(A) of the Maharashtra State Tax on Professions, Trades, Callings and Employments Rules 1975)</div><div align="center" style="margin-top:1.15pt;margin-right:4.6pt; margin-bottom:0cm;margin-left:3.45pt;margin-bottom:.0001pt;text-align:center"><br></div> <div style="margin-top:.05pt;line-height:8.0pt;mso-line-height-rule: exactly"> </div> <div style="text-align: justify; margin: 0.6pt 0cm 0.0001pt 5pt;"><span style="white-space:pre"> </span>I <u> </u> who am / is <u> __________ </u> of #<u> </u> who is employer holding a Registration Certificate No <u> _ </u> dated <u> </u> hereby appoint Shri <u> </u> who is *my relative / person regularly employed by me / the said <u> </u> / legal Practitioner / Chartered Accountant / Sales Tax Practitioner to attend on *my behalf / behalf of the said <u> _</u> before <u> </u> (State the Profession Tax Authority) in the <u> __ </u> proceedings (describe the proceedings) before the said <u> ___ </u> (State the Profession Tax Authority) and to produce accounts and documents and to receive on *my behalf / behalf of the said <u> __ </u> any notice or documents issued in connection with the said proceedings and to take all necessary steps in the said proceedings.</div></div> <br clear="all" style="page-break-before:auto; mso-break-type:section-break"> <div> <div style="text-align: justify; margin: 0.6pt -2.65pt 0.0001pt 41pt;">The said Shri is also hereby authorized to act on *my behalf / behalf of the said <u> ___ </u> in the said proceedings.</div></div><div> <div style="margin-top:.4pt;line-height:6.0pt;mso-line-height-rule: exactly"> </div> <div style="text-align: justify; margin-left: 41pt;">I agree <u> </u> to ratify all acts done by</div> <div style="margin-top:.05pt;line-height:8.0pt;mso-line-height-rule: exactly"> </div> <div style="text-align: justify; margin-left: 41pt;">The said <u> </u> agrees the said Shri <u> </u> in pursuance of this authority</div> <div style="margin-top:.45pt;line-height:8.0pt;mso-line-height-rule: exactly"> </div> <div style="line-height:10.0pt;mso-line-height-rule:exactly"><br></div></div> <div> <div style="margin-top:.6pt;margin-right:-2.0pt;margin-bottom: 0cm;margin-left:5.0pt;margin-bottom:.0001pt;line-height:158%;tab-stops:116.0pt">Place : <u> </u></div><div style="margin-top:.6pt;margin-right:-2.0pt;margin-bottom: 0cm;margin-left:5.0pt;margin-bottom:.0001pt;line-height:158%;tab-stops:116.0pt">Date : <u> ____________ </u></div> <br clear="all"> <div style="text-align: right; line-height: 10pt;">Signature <u> </u> </div><div style="text-align: right; line-height: 10pt;">Status ____________________________</div><div style="text-align: right; line-height: 10pt;"><br></div> </div> <div style="margin-right: -3.1pt;"><strong><br></strong></div><div style="text-align: center; margin-right: -3.1pt;"><strong>ACCEPTANCE</strong></div><div><strong><br></strong></div> <div> <div style="margin-top:.45pt;line-height:7.0pt;mso-line-height-rule: exactly"> </div> <div style="margin-top:.6pt;margin-right:4.25pt;margin-bottom: 0cm;margin-left:5.0pt;margin-bottom:.0001pt;text-align:justify;text-indent: 36.0pt;line-height:114%;tab-stops:333.0pt">I <u> </u> do hereby state that *I am a relative of <u> </u> / a person regularly employed by <u> </u> / a legal practitioner / a Chartered Accountant / a Sales Tax Practitioner duly qualified under section 82 of the Maharashtra Value Added Tax 2002 and that I accept the aforesaid appointment.</div> <div style="margin-top:.45pt;line-height:7.0pt;mso-line-height-rule: exactly"> </div> <div style="margin-left:5.0pt;tab-stops:135.0pt">Place : <u> </u></div> </div> <br clear="all" style="page-break-before:auto; mso-break-type:section-break"> <div> <div style="margin-top:.6pt;margin-right:-2.65pt;margin-bottom: 0cm;margin-left:5.0pt;margin-bottom:.0001pt;tab-stops:143.0pt">Date : <u> </u></div> <br clear="all"> <div style="text-align: right; margin-top: 0.6pt;">Signature <u> </u></div> </div> <br clear="all" style="page-break-before:always;mso-break-type:section-break"> <div style="line-height:10.0pt;mso-line-height-rule:exactly"># State here the name of the employer as entered in the Certificate of Registration</div>* State here status such as proprietor, Partner, Director, Manager, Secretory or Officer-in-Charge</wordtidy><div><wordtidy><br></wordtidy></div>
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