Maharashtra Value Added Tax Rules, 2005 FORMS
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FORM 413

(See Rule 47)

Application for refund under sub-section (6) of section 32 of the Maharashtra Value Added Tax Act, 2002

_______________________________

I/We, the undersigned, do hereby apply for the refund being the amount collected from me/the said ____________ in contravention of section 60 of the Maharashtra Value Added Tax Act, 2002. The details are as follows:-

1 ..........Name of the dealer/the person applying for refund)

2 .......... R.C.No. Under M.V.A.T. Act, 2002 if any,

3 .......... Address of the dealer/ Applicant

4 .......... Amount of refund

5 .......... Name of the dealer who has collected tax in

............. contravention of section 60 of the MVAT Act, 2002

6 ..........R.C. No. Under M.V.A.T. Act, 2002

7 ..........Address of the place of business

The dealer, whose place of business is situated in your jurisdiction, has collected tax in contravention of section 60, of the details of which are as follows:-

Date of Purchase	Purchase Invoice Number	Amount of tax collected (Rs.)	Tax actually leviable, if any	Amount of tax collected in contravention of section 60 (Rs.)
(1)	(2)	(3)	(4)	(5)

Total

The amount of tax collected Rupees ______________has actually been deposited by the said M/s ______________in Government Treasury under chalan no._________ dated___________. Receipted copies have been submitted to you by the said dealer as per the attached certificate

" I declare that I have not resold the goods within a period of two years from the date of purchase and have not claimed set-off in respect of the said purchases ".

I/We enclose herewith a certificate from the said M/s__________________________ In support of the above statement.

Place __________________

Date___________________

Signature _________________

Status____________________