Andhra Pradesh Value Added Tax Rules, 2005- Forms
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Body

FORM 510B

APPLICATION FOR CLAIMING OF REFUND BY UN-REGISTERED DEALERS/ PERSONS

[ See Sec 38(9) & Rule 35(13) ]

01. Tax Office Address :

____________________________________

Date

Month

Year

Name of the unregistered dealer : ______________________________________________

Address:___________________________________________________________________

__________________________________________________________________________

I/We have paid tax/ tax has been deducted at source from my/our amounts during the period -------------------- as following:

Sl.No

Name & address of the authority who collected the tax

Name & address of the authority who Deducted the Tax at Source.

Amount of tax collected/ paid

Remarks

Therefore I / We request you that the tax paid above may be given as refund as per the provisions of the APVAT Act, 2005.

Signature of the un-registered dealer/ Person.