FORM
  A3
  Return of Annual Turnover
  (See
  Rule 14(2) of A.P.G.S.T. Rules, 1957)
  To
  The Deputy/Commercial Tax officer 
  
  _____________________________ 
  
  _____________________________
I______________________________________________________________Son/Daughter/Wife of_________________________________________________ on behalf of the
  dealer carrying on business known as
  ________________________________________________________(Dealer name/Firm
  name) furnish herewith the Statement of the total and net turnover for the
  said business during the period commencing from
  _________________________________________ and ending on
  _____________________________________ and give the following connected
  particulars:           
  
  1.   Registration Certificate
  Number
            APGST
      :
  
              CST           
  :
 
  2.
    Address of the principal place of
  business:
 
3.  
  Particulars of payment
 
(a) 
  Total Tax payable :
 
(b)  Tax paid            
  :
 
(i)      
  Cheque/DD Particulars
 
 Number                
        :           
                        
  Date       :
 
                   
        Bank                       
  :          
                   
  Branch       :
    
(ii)    
  Cash(Receipt No)     
  :
 
If
  paid. Receipt No.  :                 
             
             
  Date       :
  
 
(iii)   
  Challan Particulars
 
       
  Number            
  :                       
             
  Date        :
 
  
       Name of the Treasury     
  :
 
  
          (c) 
  Balance Payable If any (a-b)     
  :
  
  
Statement of Commodity-wise Tax and Turnover details No. of Commodities for which Particulars are given
| Commodity | Total Turnover | Exempted Turnover |  Net
      Turnover | Rate of
       Tax | Tax
         | Turnover Tax | Surcharge | Total (7+8+9) | |
| Description | Code
       |   |   |   |   |   |   |   |   | 
| 1. |   | 2. | 3. | 4. | 5. | 6. | 7. | 8. | 9. | 
| Turnover
      under Sec 5, 6 & 6A  Sales/Purchases |   |   |   |   |   |   |   |   |   | 
|   |   |   |   |   |   |   |   |   |   | 
|   |   |   |   |   |   |   |   |   |   | 
|   |   |   |   |   |   |   |   |   |   | 
|   |   |   |   |   |   |   |   |   |   | 
|   |   |   |   |   |   |   |   |   |   | 
|   |   |   |   |   |   |   |   |   |   | 
|   |   |   |   |   |   |   |   |   |   | 
|   |   |   |   |   |   |   |   |   |   | 
| Turnover
      under 5E |   |   |   |   |   |   |   |   |   | 
|   |   |   |   |   |   |   |   |   |   | 
|   |   |   |   |   |   |   |   |   |   | 
| Turnover
      under 5C |   |   |   |   |   |   |   |   |   | 
|   |   |   |   |   |   |   |   |   |   | 
|   |   |   |   |   |   |   |   |   |   | 
| Total
      : |   |   |   |   |   |   |   |   |   | 
Note: In case the same commodity is taxable at different rates, by virtue of specific orders, please mention the commodity separately for each rate of tax.
                                                                                                                                                                             
Signature
of the Dealer
DECLARATION    
    
I
______________________________________________________________Son/Daughter/Wife of____________________________________________________________ Declare that to
the best of my knowledge and belief, 
 the information furnished in the above
statement is true and complete. 
Place:                                                                                                 
                 
Signature _______________________________
Date:                                                                                                                    
Status and relationship to
the dealer______________________
       
                                                                                                       
               
Name (In block letters)___________________________________