FORM E
Return of Exemption Claimed
(See Rule 19A 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 _______________________________________________________ furnish herewith the Statement showing the details of the transactions for the said business during the month/year of __________________________________ which are not liable to tax give the following connected particulars.

 

(1)     Name and address of the Manager of the business  ____________________________________
   
   ____________________________________________________________________________

   _____________________________________________________________________________

 
(2)     Status or relationship of the person who signs this return ________________________________
            (Manager / Partner / Proprietor etc.)

 

(3)     Name and address of the principal place of business with particulars of registration:

    Name  _________________________________________

 

    Registration Certificate No.

 

    APGST :

 

    CST :     

 

    Address:

    _____________________________________________________________________________

    _____________________________________________________________________________

    _____________________________________________________________________________

 

(4)    Name(s) of other places of business and the address of every such place (if space provided for is not sufficient information shall be furnished in a separate sheet and enclosed to this return)

 

STATEMENT  - I
(Not being First sale/First Purchase)

Sl.  No.

Commodity

Details of dealer from whom purchased

Invoice/DC details

Way Bill details*

Name

Code

Name

Address

RC. No.

Number  & Date

Quantity

Value

No. & Date

 







 

 

 

 

 

 

 







 

 

 

 

 

 

 

 






 

 

 

 

 

 

 







 

 

 

 

 

 

 

 






 

 

 

 

 

 

 






 

 

 

 

 

 

 

 

Total for the month

                   

*Where the consignment was moved in a goods vehicle.  


STATEMENT  - II  
(Being Agency Transactions)

Sl.  No.

Commodity

Details of agent  who paid tax

Sale Patti/Tak Patti/Invoice details

Way Bill details*

Name

Code

Name

Address

RC. No.

Number  & Date

Quantity

Value

No. & Date

 







 

 

 

 

 

 

 







 

 

 

 

 

 

 

 






 

 

 

 

 

 

 







 

 

 

 

 

 

 

 






 

 

 

 

 

 

 






 

 

 

 

 

 

 

 

Total for the month

                   

*Where the consignment was moved in a goods vehicle.



STATEMENT  - III  
(Not being last purchase/last sale)

Sl.  No.

Commodity

Details of dealer to whom sold

Invoice/DC details

Way Bill details*

Name

Code

Name

Address

RC. No.

Number  & Date

Quantity

Value

No. & Date

 







 

 

 

 

 

 

 







 

 

 

 

 

 

 

 






 

 

 

 

 

 

 







 

 

 

 

 

 

 

 






 

 

 

 

 

 

 






 

 

 

 

 

 

 

 

Total for the month

                   

*Where the consignment was moved in a goods vehicle.



STATEMENT  - IV

Sl.  No.

Commodity

Turnover in respect of which exemption is claimed

Section/Rule under which claimed

Invoice/DC details*

Way Bill details*

Name

Code

Number  & Date

Quantity

Value

No. & Date

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Total for the month


*If applicable.