(See rule 5(1) of the Goa Value Added Tax Rules, 2005)
To, The Commissioner of Commercial Taxes, Government of Goa, Panaji Goa.
Sir,
I ................................. (name and designation of the officer signing the application) of the ......................, do hereby apply for reimbursement of tax collected on the purchases of goods made by me/us specified in the invoice /cash memo no...........dated...........of Shri/M/s ..................................................... who is/are registered dealer under the Goa Value Added Tax Act, 2005 (Act 9 of 2005)My/our Bank Account in India is under No................and the payment towards such reimbursement of tax be made payable by demand draft to be credited to the said Bank Account.Invoice/Cash Memo relating to the said purchases is enclosed in original. |