THE ASSAM VALUE ADDED TAX RULES, 2005

FORM-7

[See Rule 14(2)]

APPLICATION FOR REFUND OF SECURITY

To,

The Prescribed Authority,

Unit_____________.

Subject : Refund of security.

Sir,

I hereby apply for release/refund of security furnished by me, the particulars are given below:-

(1) Name and style of business with complete address. :

(2) Registration Number :

(3) Amount of security paid and mode thereof with complete details:

(4) The amount of security claimed as refund :

(5) Grounds of claiming refund :

Yours faithfully,

VERIFICATION

I Shri/Smti.______________________________son of/daughter of/wife of ....................................,(Status).................... do hereby declare that the particulars furnished by me as above are true to the best of my knowledge and belief.