FORM F
(See Rule 27A of A.P.G.S.T. Rules, 1957)
Statement of Claim for Refund of Tax Paid on Sales or Purchases of Goods
Specified in Section 6.

To

The Assessing Authority.
____________________________

____________________________

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I/We request that under the provisions of rule 27A of the Andhra Pradesh General Sales Tax Rules, 1957.
I/We may be granted refund of the tax paid under the Act in respect of the goods, the particulars of which
are given in the Schedule below : 

1.      Serial Number.

2.      Name and address of the dealer who paid the tax under Section 6 of the Act.

3.      Date of sale or purchase of the goods by the dealer who paid the tax under Section 6 of the Act.

4.      Description of the goods.

5.      Month in which the sale or purchase was included in the turnover tax paid under Section 6 of the Act.

6.      Amount of tax paid.

7.      To whom paid (designation of the assessing authority).

8.      Challan number and date.

9.      By whom sold in the course of inter-State trade or commerce

10.   Date of commencement of inter-State movement or the date of inter-State sale.

11.   Amount for which the goods were sold by the applicant.

12.   Challan number and date and place of remittance on which the tax under the Central Sales Tax was paid in respect of the goods.

13.   The names and addresses of person or persons, if any, who had bought and sold the goods before they were sold to the person specified in column-9.

            Place :                                                                                      Signature

            Date :                                                                                        Status & Relationship to the dealer

Note:   

In Column (10) the date of commencement of the inter-State movement should be given if the sale was inter- State sale falling within the scope of clause (a) of Section 3 of the Central Sales Tax Act, 1956, (Central Act 74 of 1956).  The date of sale by transfer of document of title to the goods should be given if the sale was an inter-State sale falling within the scope of clause (b) of Section 3 of that Act.