Form A-XIII Application for Refund of Advance Deduction of Tax [See rule 29(2)] To, The Deputy Commissioner/Asstt. Commissioner/Commercial Taxes Officer in charge of ....................................................................................................................... Circle. I/We hereby declare that the following deduction/deductions have been made from my bill relating to works contract executed by me/us being executed by me, details of which are given below: SL Name of the Contract Nature of the Contract Contract Value Bill/Invoice No. & Date from which deduction has been made Amount of Tax deducted in advance Name of deducting Authority Details of evidence attached with application signifying the deduction I/We request you to allow refund of Rs. .................................................................................................................................................................................... (Rupees in words) to me/us the details of which have been furnished as aforesaid. I/We declare that I/We am/are not liable to pay tax under Section 3 of the Bihar Value Added Tax Act, 2005 during the year ..................................... (mention the year during which deductions were made). I/We further declare that the statements made and particulars furnished in and with this application are correct and complete to the best of my knowledge and belief and that I am competent to sign and submit this application. Place ................................................... Name and Signature of the Applicant ................................................................................ Date ................................................... Status ................................................................................
