FORM VAT - 40-A [See rule 58] Application for refund of Input Tax under Section 53 Of the Jammu & Kashmir Value Added Tax Act , 2005 To The Jurisdictional Assessing Authority, Circle ........ Srinagar/Jammu [Name of United Nations Organisation, Embassy or Consulate] or [Diplomat thereof] _____________________________ [Address] ____________________________ Sir, I/ We, have incurred official expenses liable to Value Added Tax and request refund of said taxes as detailed in the schedule below and supported by the original invoices attached and a schedule for each rate of tax detailed. Amount Tax paid Purchases of goods taxable at 12 ½ % Purchases of goods taxable at 4% Purchases of goods taxable at 1% Total Furthermore I /we, certify that the purchases made relate to official expenditure of the aforementioned agency of the UN, Embassy, or Consulate. In the case of an Embassy or Consulate I/ we, further certify that reciprocal arrangements are in place in the home Country or State of Embassy/ Consulate of...... for refund of such taxes to Indian Embassies or Consulates. Signed................Designation.........Date.... ... WARNING: There are penalties for making false declarations.