FORM A3
Return of Annual Turnover
(See Rule 14(2) of A.P.G.S.T. Rules, 1957)


To
The Deputy/Commercial Tax officer

_____________________________

_____________________________

I______________________________________________________________Son/Daughter/Wife of_________________________________________________ on behalf of the dealer carrying on business known as ________________________________________________________(Dealer name/Firm name) furnish herewith the Statement of the total and net turnover for the said business during the period commencing from _________________________________________ and ending on _____________________________________ and give the following connected particulars:           


1.   Registration Certificate Number

            APGST     :

           
CST            :

 
2.   Address of the principal place of business:

 

3.   Particulars of payment

 

(a)  Total Tax payable :

 

(b)  Tax paid             :

 

(i)       Cheque/DD Particulars

 

 Number                       :                                   Date       :

 

                          Bank                        :                             Branch       :
 
 

(ii)     Cash(Receipt No)      :

 

If paid. Receipt No.  :                                          Date       :

 

(iii)    Challan Particulars

 

        Number             :                                    Date        :

 

        Name of the Treasury      :

 

           (c)  Balance Payable If any (a-b)      :

Statement of Commodity-wise Tax and Turnover details No. of Commodities for which Particulars are given

Commodity

Total

Turnover

Exempted

Turnover

 Net Turnover

Rate

of

Tax

Tax

 

Turnover Tax

Surcharge

Total

(7+8+9)

Description

Code

 

 

 

 

 

 

 

 

1.

 

2.

3.

4.

5.

6.

7.

8.

9.

Turnover under Sec 5, 6 & 6A

Sales/Purchases

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Turnover under 5E

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Turnover under 5C

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Total :

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Note: In case the same commodity is taxable at different rates, by virtue of specific orders, please mention the commodity separately for each rate of tax.

 

                                                                                                                                                                              Signature of the Dealer


DECLARATION 

  I ______________________________________________________________Son/Daughter/Wife of____________________________________________________________ Declare that to the best of my knowledge and belief, 
the information furnished in the above statement is true and complete.


Place:                                                                                                                    Signature _______________________________

Date:                                                                                                                     Status and relationship to the dealer______________________

                                                                                                                               Name (In block letters)___________________________________