FORM
A9
Return of Turnover and
Option by the Dealer to Pay Tax under Section 14C
(See Rule 15C (1) of A.P.G.S.T. Rules, 1957)
To
The Assistant / Deputy Commercial Tax Officer
___________________________________ Circle.
I,_______________________________________________________________Son/Daughter/Wife of _____________________________________________________ on behalf of the dealer carrying business known as _____________________________________________________ (dealer name /firm name with R.C. No.) opt to be assessed under Section 14C and furnish herewith the Statement of the total turnover for the said business during the year 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):
4. Tax Paid by the dealer for the previous year :
Statement of Commodity wise Turnover details.
No.
of commodities for which particulars are given:
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Commodity
Description |
Code |
Total
Turnover |
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DECLARATION
I/We______________________________________________________________Son/Daughter/Wife
of _____________________________________________________________ declare to the
best of my / our knowledge and belief, the information furnished in the above
Statement is true and complete.
Place
:
Signature
Date
:
Status & Relationship to the dealer
TO
BE FILED BY THE ASSESSING AUTHORITY
Received
on
Signature
of Assessing Authority
Designation
Date: