The Jammu and Kashmir Value Added Tax Form, 2005.
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FORM VAT – 40-A

[See rule 58]

Application for refund of Input Tax under Section 53 Of the Jammu & Kashmir Value Added Tax Act , 2005

The Jurisdictional Assessing Authority ,

Circle ..................

Srinagar/Jammu

[Name of United Nations Organisation, Embassy or Consulate] or

Diplomat thereof ]	_____________________________

[Address]	_____________________________

Sir,

I/ We, have incurred official expenses liable to Value Added Tax and request refund of said taxes as detailed in the schedule below and supported by the original invoices attached and a schedule for each rate of tax detailed.

	Amount	Tax paid
Purchases of goods taxable at 12 ½ %
Purchases of goods taxable at 4%
Purchases of goods taxable at 1%
Total

Furthermore I /we, certify that the purchases made relate to official expenditure of the aforementioned agency of the UN, Embassy, or Consulate. In the case of an Embassy or Consulate I/ we, further certify that reciprocal arrangements are in place in the home Country or State of Embassy/ Consulate of.................. for refund of such taxes to Indian Embassies or Consulates.

Signed..............................................Designation.........................Date...................

WARNING: There are penalties for making false declarations.