FORM
A
To
The Deputy Commercial Tax
officer
_____________________________________
______________________________________
I________________________________________________________________
Son/Daughter/Wife of
___________________________________________________________ on behalf of the
dealer carrying on business known as
________________________________________________________ furnish herewith the
statement of estimated total and net turnover for the said business during the
year commencing from ________________________________ (date/month/year) and
ending on ___________________________________ (date/month/year) and 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.
A.P.G.S.T.
:
C.S.T. :
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)
_____________________________________________________________________________
(5)
Date
of commencement of business ____________________________ (Date / Month/Year
Statement of Estimated Total and Net Turnover of the Business Commodity-wise Tax and Turnover Details
Sl.No. |
Commodity |
Estimated Total Turnover |
Estimated turnover on which exemptions claimed |
Estimated Net
Turnover |
Rate of Tax |
Estimated Tax |
[1](...) |
1(...) |
Total (7+8+9) |
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Description |
Code |
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1. |
2. |
3. |
4. |
5. |
6. |
7. |
8. |
9. |
10 |
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Turnover under Sec 5, 6 & 6A
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Turnover under 5E |
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Turnover under 5C |
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Total : |
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[1]
By G.O.Ms.No.244 Rev., Dt.17-05-1995 Columns (8) and (9) were deleted.
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.
Status and relationship to
the dealer ______________________
Date: