COMMERCIAL TAXES DEPARTMENT
[See Rule 19(2)(c), 20(1), 21(3)]
Application for Refund for others
Cover Page
Verification
I certify that the information given in this form and its attachments (if any) is true and correct to the best of my knowledge and belief and nothing has been concealed
Signature
Full name of Applicant
Designation
Date
Place
Instructions :
1. Please ensure that the form is complete
2. This Form should be verified and signed by:
a. Proprietor, in case of Proprietorship concern
b. Managing Partner, in case of Partnership firm and where there is no Managing Partner, by all the partners if there is no registered partnership deed and in case of a registered partnership deed by any one of them.
c. Managing Director or authorized signatory, in case of a Company
d. Karta, in case of Hindu Undivided Family
e. Authorised Signatory, in all other cases
4. Enclose original copies of VAT invoices/or certificate of Deduction of Tax at source, and evidence of payment of such Tax in Government Treasury.
5. Enclose copy of contract (in case of contractors)