FORM-XII
Declaration notifying persons authorized to sign and to make statements
(See rule 54)
To
The Assistant Commercial Tax Officer/The Deputy Commercial
Tax Officer/The Commercial Tax Officer,
_______________________________________________________________________________
(place)
I/We
(full address)
carrying on business known as
authorize the following person(s):-
________________________________________________________________________________________
S.No.
Name of the
Person
Status and
relationship
Specimen signature
of the person to
the
of the person named
dealer
in column(2)
__________________________________________________________________________________________
1
2
3
4
___________________________________________________________________________________________
1.
2.
3.
to sign the returns under the Andhra Pradesh General Sales Tax Act, 1957 and the
following persons:-
____________________________________________________________________________________________
S.No.
Name of the
Person
Status and
relationship
Specimen signature
of the person to
the
of the person named
dealer
in column(2)
__________________________________________________________________________________________
1
2
3
4
___________________________________________________________________________________________
1.
2.
3.
to make statements in any enquiry under the Andhra Pradesh General Sales Tax
Act, 1957, on my/our behalf. All the
returns signed and statements made by the above authorized persons(s) shall be
binding on me/us.
Place: ..................................................
Signature and relationship of the person