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
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2. |
3. |
4. |
5. |
6. |
7. |
8. |
9. |
Turnover
under Sec 5, 6 & 6A Sales/Purchases |
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Turnover
under 5E |
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Turnover
under 5C |
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Total
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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)___________________________________