FORM VAT-57 [See rule 67 (13) & 72(9)] REFUND APPLICATION To The Assessing Authority ......... I,________________________________son of __________________________ R/o ________________________________________ on behalf of myself/ partner/proprietor of M/s_______________________________________ apply for refund of Rs...................furnish the following particulars: 1. Full name and address of the Dealer/person who own goods 2. Date of seizure of good 3. Date of auction of the goods 4. Particulars of goods Invoice No. GR No. And date and date 5. Name of the consignor (if applicable) 6. Authority who seized the goods with Reference to provisions of the Act Under which seized. Dated Signature of the applicant.
