FORM B-3(See rule 15,17 and 50)

           (Dealer)                                                                                                        Assessment No.
Take notice that you have been finally assessed under the Andhra Pradesh General Sales Tax Act, 1957, to
a 7(tax) of Rs.                     (Rupees (in words)    only) for the year ending                                                 and
that after deducting the monthly payments(s) already made by you towards the7(tax) for that year,  you have to
 pay a (further) sum of Rs.                            (Rupees(in words)           
                only).  This balance of  7(tax) shall be paid (within thirty/    days) from the date of  this notice--
 by 3(cheque) 3(demand draft) in favour of the undersigned) or 5(by cash to the undersigned or)
by remittance into  the Government Treasury at 4(**) failing which the amount will be recovered as if it were an arrear
of land revenue and you will also be laible to (interest) as provided in section 16 of the Andhra Pradesh General Sales
Tax Act, 1957.
2[Turnover and total tax payable as determined by the assessing authority in respect of:-
Commodity            Description            Rate of             4Gross            Exempted             Net            6Tax
code                        of goods                 tax                turnover            turnover          turnover
                                                                                      (a)                    (b)                (a)-(b)
    1                               2                          3                    4                       5                      6                7

Date:                                                                                                                                Assessing Authority

Note:-    1.    If payment is made by cheque, [demand draft] the cheque [demand draft] shall be crossed and shall
                     be as such as under the Andhra Pradesh Treasury Code, may be received by the Treasury concerned.
              2.    Omitted by G.O.688 Rev.dt.11.10.1988

Note:-    1.    Where the assessing authority has for reasons recorded in the assessment order, proposed that the 
                      dealer should pay the (tax and surcharge on such tax) assessed within a period of less than 30 days,
                      he should strike out the figure 30 and note such lesser period specified in the order, and duly attest
                      the entry.]
Note:-    1.    This Form was amended by G.O.Ms.No.2307 Rev.dt.12.12.1957, G.O.Ms.No.1857, Rev.dt.28.10.1963,
                     G.O.Ms.No.1488 Rev.dt.20.12.1996,and G.O.Ms.626 Rev.dt.1.7.1969. G.O.Ms.No.1251 Rev.dated
                     12.9.1975, & G.O.Ms.No.473 dt. 18.3.1981
              2.    Subs. by G.O.Ms.No.1445, Rev.dt.5.11.1986.
              3.    Subs. by G.O.Ms.No.101 Rev.dt.2.2.1989 for the words "bankers cheque" w.e.f.4.2.1989
              4.    By G.O.Ms.No.688, Rev.dt.11.10.1988. the words "by money order
                     to the undersigned or" and "to the DCTO/ACTO/Bill Collector or" were omitted.   By the same G.O. col.4
              5.     Inserted by G.O.Ms.No.1081 Rev.dt.4.11.1993.
              6.     Subs. by G.O.Ms.No.244 Rev.dt.17.5.1995.
              7.     The words "and surcharge on such tax" deleted by G.O.Ms.No.244  Rev.dt.17.5.1995.