THE KERALA VALUE ADDED TAX RULES, 2005 - Forms
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Body

DECLARATION

FORM No. 10 AA

[For payment of tax under fifth proviso to section 6(5). See Rule 24]

Name of the dealer:

Address:

VAT Office address:

(1) I am enclosing herewith the receipt / cheque / challan / demand draft no………… dated……… for rupees seven hundred and fifty as presumptive tax for the quarter ending……………… for the year…………

(2) My sales turnover for this quarter is Rs………… words)…………………

(3) My purchase turnover for this quarter is Rs………… words)…………………

Date :	Name and Signature of
Place:	The dealer or Authorized Signatory