NOMINATION OF RESPONSIBLE PERSON FORM 560 [ See Rule 63 (1) & (3) ] Declaration notifying persons authorised to sign any return /document/ Statements and to receive notices, orders, etc., under the Andhra Pradesh Value Added Tax Act 2005 To Date Month Year Name : Address: I/We __________________________________________ being Proprietor / Managing Partner / Managing Director etc., do hereby authorise the following persons(s) to sign any return / documents / statements and to receive notices orders etc., under the Andhra Pradesh Value Added Tax Act 2005 Sl.No. Name of the Person Status and relationship of the person to the dealer Specimen signature of the person named in Col.(2) 1. 2. 3. 4. Signature of the Dealer(s)/Authorised Signatory I/We _________________________________ accept the above responsibility. Signature of the person(s) authorised 173
