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

APPLICATION FOR REFUND OF TAX TO AGENCIES OF U.N.O., ICRISAT ETC.,

[See Rule35(12)]

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