¹NOTICE OF FINAL ANNUAL ASSESSMENT AND DEMAND
FORM B-4(See rule 14)

To,
           Dealer/Casual Trader                                                                                                 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 period from                                    to
The   ⁷(tax) shall be paid (within thirty/    days) from the date of  this notice--
⁴(**)
 by ³(cheque) 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
___________________________________________________________________________________________

Place:
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
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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.    Col.4 was subs. by G.O.Ms.No.688, Rev.dt.11.10.1988. By the same G.O.the words "by money order
                     to the undersigned or" and "to the DCTO/ACTO/Bill Collector or" were omitted.   
              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.