Andhra Pradesh Value Added Tax Rules, 2005- Forms
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FORM 510

APPLICATION FOR REFUND OF TAX UNDER SECTION 15(3)

[See Rule24(6)]

01. Tax Office Address:

____________________________________________

Date

Month

Year

02.	Name _______________________________________________________________________________ Address _____________________________________________________________________________ ____________________________________________________________________________________

We have purchased the following goods in Andhra Pradesh during the period ________

SNo.	Name of the Dealer from whom purchased	TIN / GRN	Address	Invoice No. & Date	Commodity	Quantity	Rate of Tax Charged	Value of the Goods	VAT / TOT Paid	Remarks

Total tax claimed as Refund

Therefore, we request you that the tax paid on the above purchases may be given as refund as per the provisions of the AP VAT Act 2005.

Signature of Authorised Officer,

Name & Status. Officer Stamp