(See Rule 17(5A) of A.P.G.S.T. Rules, 1957)


I/We have to report that the statutory audit of______________________________________________
____________________________________________________________________________________ (Name and address 
of the dealer. Registration Certificate No.___________________________________) was conducted by me/us/M/s.____________________________________________________________ with reference to the provisions contained 
in the Andhra Pradesh General Sales Tax Act, 1957/Central Sales Tax Act, 1956 and the Rules made there under and 
I/We annex hereto a copy of my/our/ audit report dated ________________________, a copy of the audited Trading/
Manufacturing and Profit and Loss account for the year ended on_____________________________and a copy of the audited
balance sheet as at_______________________________________. The statement of particulars for the purpose of final 
assessment in Form _______________________________________ along with the statements in Forms A.R.I, A.R.II, A.R.III 
and A.R.IV is also annexed herewith.

In my/our opinion and to the best of my/our information and according to the information given to me/us, the particulars given 
in Forms XXXVII, A.R.I, A.R.II, A.R.III and A.R.IV annexed are true and correct.

Explanatory note is annexed on the points on which I/We do not agree.



Date:                                                                                                                    Chartered Accountant.



1. Delete whichever is not applicable.

2. This report shall be signed by a Chartered Accountant within the meaning of the Chartered Accountant Act, 1949 (Act 38 of 1949).