FORM AA9
Part - B
Acknowledgment cum Demand Notice/Refund Order

 

APGST RC. No:.                       

 

Year:                        

 

Date of Receipt of return:

 

Name of the dealer:

 

a)       The following enclosures are not received (strike out whatever is received)

 

Proof of Payment of tax

E Return

*C Form utilisation Statement
*Way Bill utilisation Statement
*G Form utilisation Statement
*F Form utilisation Statement

Others (specify)

 

b)       Provisional Determination of Turnover and tax

 

Commodity

Total turn-

Over

Exempted turnover

Net Turnover of different commodities

Rate of Tax

Tax due

Tax paid

Balance to be paid or refunded

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Place:                                                                                                   Signature
                                                                                                                Assessing authority/
                                                                                                               or designated authority

Date :                                                                                                   
Circle
                                                                                                                Unit