DEMO|

Andhra Pradesh Value Added Tax Rules, 2005- Forms
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FORM 502

DECLARATION OF A VAT DEALER AVAILING INDUSTRIAL INCENTIVES

[See Rule 67(4) ]

01. Tax Office Address:

____________________________________________

____________________________________________

____________________________________________

____________________________________________

 
Date Month Year

     

 

02 TIN/GRN                  

03. Name:_____________________________________________________________________________________

Address ______________________________________________________________________________________

_____________________________________________________________________________________________

_____________________________________________________________________________________________

_____________________________________________________________________________________________

04. Tax period

 

from to
05. Details of Industrial Incentives eligibility certificate:

 

06 Details of availmnet

 

Total amount of eligibility Incentives availed up to last month Incentives availed in this month Balance Remarks
1 2 3 4 5
         

07 Declaration

Name..................................................................S/o/D/o................................................................................being

(title)...........................................................................................of the above enterprise do hereby declare that the information given on this document is true and correct

Date of declaration..............................................................Signature & stamp.................................................