FORM F2
Statement of Claim for deduction of Turnover of Goods in The Sixth Schedule on which Tax has been levied/paid at the immediately preceding point of Sale

To

The Assessing Authority

____________________________

____________________________

____________________________

I/We request that under the provisions of rule 17G of the Andhra Pradesh General Sales Tax Rules, 1957, I/We may be granted reduction of the turnover of country liquor/all liquors other than country liquor purchased from dealers, holding wholesale license under rule 23 of the Andhra Pradesh Foreign Liquor and Indian Liquor Rules, 1970 on which tax has been paid at the rates mentioned in the Sixth Schedule to the Act and sold as per details furnished below in respect of 
the purchases of country liquor all liquors other than country liquor, the particulars of which are given below :

1.    (a)  Name and address of the dealer from whom country liquor/all liquors other than country liquors purchased.

(b)     R.C. No.

(c)     Wholesale licence number under A.P.F.L.&I.L. Rules, 1970.

2.       Bill No. and Date.

3.       (a)  Quantity of country liquor/all liquors other than country liquor purchased and its value.

  (b)     The rate(s) at which tax is paid on the above value and the amount of tax paid.

4.       (a)  Quantity of country liquor/all liquors other than country liquor sold and its value.

   (b) The rate(s) at which tax is payable on the above value.

   (c) Month in which tax is payable on the above value.

   (d) Particulars of assessing authority to whom tax was paid.

5.       Summary transactions of the month ending _________________ are as under:

Place :                                                                            Signature

Date  :                                                                              Status & Relationship to the Dealer