FORM E Return of Exemption Claimed

FORM E
Return of Exemption Claimed
(See Rule 19A of A.P.G.S.T. Rules, 1957)

The Deputy Commercial Tax Officer

__________________________________

__________________________________

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I_________________________________________________________________Son/Daughter/Wife
of_______________________________________________ on behalf of the dealer carrying on business known as _______________________________________________________ furnish herewith the Statement showing the details of the transactions for the said business during the month/year of __________________________________ which are not liable to tax give the following connected particulars.

(1)     Name and address of the Manager of the business ____________________________________

   ____________________________________________________________________________

   _____________________________________________________________________________

(2) Status or relationship of the person who signs this return ________________________________
(Manager / Partner / Proprietor etc.)

(3) Name and address of the principal place of business with particulars of registration:

Name _________________________________________

Registration Certificate No.

APGST :

CST :

    Address:

    _____________________________________________________________________________

    _____________________________________________________________________________

    _____________________________________________________________________________

(4) Name(s) of other places of business and the address of every such place (if space provided for is not sufficient information shall be furnished in a separate sheet and enclosed to this return)

STATEMENT - I
(Not being First sale/First Purchase)

Sl. No.	Commodity		Details of dealer from whom purchased			Invoice/DC details			Way Bill details*
Sl. No.	Name	Code	Name	Address	RC. No.	Number & Date	Quantity	Value	No. & Date






Total for the month

*Where the consignment was moved in a goods vehicle.

STATEMENT - II
(Being Agency Transactions)

Sl. No.	Commodity		Details of agent who paid tax			Sale Patti/Tak Patti/Invoice details			Way Bill details*
Sl. No.	Name	Code	Name	Address	RC. No.	Number & Date	Quantity	Value	No. & Date






Total for the month

*Where the consignment was moved in a goods vehicle.

STATEMENT - III
(Not being last purchase/last sale)

Sl. No.	Commodity		Details of dealer to whom sold			Invoice/DC details			Way Bill details*
Sl. No.	Name	Code	Name	Address	RC. No.	Number & Date	Quantity	Value	No. & Date






Total for the month

*Where the consignment was moved in a goods vehicle.

STATEMENT - IV

Sl. No.	Commodity		Turnover in respect of which exemption is claimed	Section/Rule under which claimed	Invoice/DC details*			Way Bill details*
Sl. No.	Name	Code	Turnover in respect of which exemption is claimed	Section/Rule under which claimed	Number & Date	Quantity	Value	No. & Date

















Total for the month

*If applicable.