The Kerala General Sales Tax - Forms
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FORM 40

APPLICATION FOR REFUND UNDER SUB-SECTION (2) OF SECTION 46A

(See Rule 31D)

The Assessing Authority

....................................

I /We ................(Complete address) having place of business at.................and holding R.C. No. (if any) ........................... dated .............. issued by .......... under the Kerala General Sales Tax Act, 1963, do hereby apply for refund of Rs................(in words) ..........being the amount collected from me by Shri/M/s................(Complete address) in contravention of Section 22 of the Kerala General Sales Act, 1963, whose place of business is situated in your jurisdiction. The details of the collection made in contravention of Section 22 are as follows:-

Date of purchase	Serial No. Of purchase Bill/Invoice	Total Purchase price	Tax Actually collected	Tax Actually leviable, if any	Amount in contravention of Section 22
1	2	3	4	5	6
Total

The said amount of Rs........ Has actually been deposited by the said Shri/M/s...........in Government Treasury............under Chalan No........dated.........recipted copies of which have been submitted to you by the said shri/M/s ..............or remitted by cheque or demand draft No.......dated..............drawn on the....................(Name and address of Bank)

I enclose herewith a Certificate from the said Shri/M/s...........in support of the above statements.

Place : ..........................	Signature
Date : .........................	Status

CERTIFICATE

I/We ..........having place of business at....... And holders of R.C.No..........dated............issued by........under the Kerala General Sales Tax Act, 1963, do hereby certify that I/we have actually collected amount of Rs..........(in figures) ..........(in words) from M/s..............which amount has been forfeited by the............under Section 46A under this order No..........dated as collection by way of tax in contravention of Section 22 of the Kerala General Sales Tax Act, 1963. The details of such collection given in the above application of the said M/s.............are correct to the best of my knowledge and belief. The collected amount of Rs........has actually been deposited in Government Treasury under chalan No.......dated.........or included in that chalan or chalans, or receipted copies of which have been duly filed in your office/remitted by cheque/demand draft No.......dated.........drawn on............(Name and address of Bank).

Place : ......................	Signature
Date :.......................	Status