FORM B (See rule 13)

           (Dealer)                                                                                                       Assessment No.

Take notice that you have been provisonally assessed under the Andhra Pradesh General Sales Tax Act, 1957, to
a 3(tax) of Rs.                     (Rupees (in words)    only) for the year ending                     the  3(tax) shall be paid 
in          monthly instalments of Rs.                (Rupees in words) only each month. the 3(tax)  for the months preceding the date of notice shall be  paid (within thirty/    days) from the date of  this notice.  The 3(tax)  for the current month shall be paid
(within thirty/days) from the date of service of this notice before the 10th day of the next month whichever is later and the
3(tax)  for each of the remaining months before the 10th day of the succeding month, 3(**) by 5(cheque) 2(demand draft)
 in favour of the undersigned) or 8(by cash to the under signed or) by remittance into  the Government Treasury at 7(**) 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.

4[Turnover and total tax payable as determined by the assessing authority in respect of:-
Commodity            Description            Rate of             6Gross            Exempted             Net            9Tax
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.    The assessee shall continue to pay [tax and surcharge on such tax ] in the following year at the rate
                     specified above pending provisional assessment for that year  in accordance with rules 10 or 11 of
                     Andhra Pradesh General Sales Tax Rules, 1957
              3.    The [tax and surcharge on such tax] paid by the assessee  for the months preceding the date of this
                     notice in accordance with the provisional assessment for the preceding year shall adjusted towards
                     the [tax and surcharge on such tax] payable under this notice.  If the [tax and surcharge on such tax]
                     so paid is less than the amount payable under this notice for the months concerned he shall pay the
                     difference within fifteen days from the date of service of this notice.
              4.    7(...)   
 Note:-          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.
              2.    The words "demand draft" were inserted by G.O.Ms.No.1251 Rev.dt.12.9.1975.
              3.    The words 'surcharge on such tax' deleted by G.O.Ms.No.244  Rev.dt.17.5.1995.
              4.    Subs. by G.O.Ms.No.1445, Rev.dt.5.11.1986 published in A.P.Gazette Extra-ord. part-I dt 25.11.1986.
              5.    Subs. by G.O.Ms.No.101 Rev.dt.2.2.1989 for the words "bankers cheque" w.e.f. 4.2.1989.
              6.    Subs. by G.O.Ms.No.688 Rev.dt. 11.10.1988.
              7.    The words  "by money order  to the undersigned or" and "to the DCTO/ACTO/Bill Collector or" were
                      omitted by G.O.Ms.No.688 Rev.dt. 11.10.1988.  By the same G.O.No.Note 4 was omitted.
              8.     Ins. by G.O.Ms.No.1081 Rev.dt.4.11.1993.
              9.     Subs. by G.O.Ms.No.244 dt.17.5.1995.