Andhra Pradesh Value Added Tax Rules, 2005- Forms
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GOVERNMENT OF ANDHRA PRADESH

COMMERCIAL TAXES DEPARTMENT

FORM TOT 062

APPLICATION OF TOT DEALER / OTHERS FOR PAYMENT OF AMOUNT OUTSTANDING BY INSTALMENTS

Tax Office Address

____________________________________

Date

Month

Year

GRN

/ OTHERS

03	Name : _______________________________________________________________________________
	Address :______________________________________________________________________________

I / we have to pay the following amount outstanding to the Commercial Taxes Department as on ________

	Tax	Rs.
	Penalty	Rs.
	Penal Interest	Rs.
		————————
	TOTAL	Rs.
		————————

Now I/we am unable to pay the above amount outstanding at one time for the reasons given below:

...............................................................................................................................................................................................

Therefore I request you to sanction me approval to pay the above amount outstanding in _______ number of instalments.

Signature & Status