FORM  L
(See Rule 6B of A.P.G.S.T. Rules, 1957)
Application for Permission for Composition of Tax Payable by a Dealer.

To

The Assistant Commercial Tax Officer/
Dy. Commercial Tax Officer/Commercial Tax Officer.

__________________________________________

__________________________________________

I, __________________________________________________________ being a registered dealer holding_____________________________________________________Registration Certificate No. ________________________________________ General Sales Tax Act, 1957, and carrying on the business within the jurisdiction of the Assistant Commercial Tax Officer/Dy. Commercial Tax Officer/ Commercial Tax Officer/_________________________________________________in the district of __________________________________ is situated at Room/Flat/Shop No.___________________ Name___________________________________________of_____________________________the building ward/Locality___________________________Road___________________________Village _______________________________Post Office_____________________________________ Taluk ____________________________ do hereby apply.

•         For permission in Form L1 to pay the amount in lieu of tax payable by me for the year _________ in accordance with the provisions of Section 5G read with Rule 6G.

•          For renewal of the permission in Form L1 dated of which expires on ___________________.

Place:

Date:                                                                                                                Signature.

(Note: In case of any application for renewal, this should be accompanied by the permission in      Form L1)

Received an application in Form L from under Rule 6B of the APGST Rules, 1957.

Place:                                                                                                   Receiving Officer
Date:                                                                                                    Designation.