FORM 501

(See rule 60(1))

Application for refund under section 51 of the Maharashtra Value
Added Tax Act, 2002
To,
Transaction id of filing of e-Annexure
(Mandatory to all application)
Transaction id of filing of Annexure B
( Mandatory for claim under VRS)
Transaction id of filing of Annexure C
(Mandatory for dealer having interstate sale/
(Please select the Desk of Application consigmement transfer/ penultimate export
Receiving Officer of the Location) etc.)

Sub:- Application for refund under section 51 of the Maharashtra

Value Added Tax Act, 2002
Sir,

I /We, the undersigned, has / have filed return / revised return / fresh return in
which refund has been claimed by me / us. The details are as under:

1. Category of the dealer claiming refund (Please tick one or more appropriate box)
Unit Newly
Dealer
Specified in registered
Dealer PSI unit claiming
the dealer
making holding refund in
Exporter Explanation claiming
interstate Entitlement last return of
to sub- refund at the
sale Certificate` the financial
section (3) of end of second
year
section 8 financial year

2 Name of the dealer*

3 MVAT – TIN*

4 CST TIN

5 Entitlement Certificate No, if any

6 Certificate No. issued by JCST in respect of

dealers covered under sub-section (3) of
section 8, if any

7 Address of place of business

8 Details of Bank Account in which refund

sought*
Name of Bank
 Branch
Account Number-

9 Period of the return in respect of which refund FROM TO

is claimed* (DD/MM/YY)
10 Nature of return filed (Regular / Revised /
Fresh)

11 Date of filing of return*

12 Amount of refund claimed as per this

application*

Amount of refund claimed so far during the Period Amount

13
year

14. Tax paid /Refund claimed during the previous Payment Refund
year(VAT+ CST)

15. Whether willing to furnish Bank guarantee Yes/No

16 Name and designation with whom contact is to

be made with Phone and Mobile No,

* These fields are mandatory.

I / We, hereby declare that I/we is/are a dealer holding certificate of

Entitlement under Package Scheme of Intensive and the amount of refund is equal to
set-off admissible on raw materials
The particulars given above and in the statements of purchases annexed hereto are
true to the best of my knowledge and belief.
I / We are ready to comply with the necessary requirements.
You are requested to grant the refund in my/our case.
Thanking You.
Yours faithfully,

Date: Signature
Place: Name of the dealer
E-mail id: Designation and
Status
Fax No.:
 Annexures to Application for refund in Form 501

ANNEXURE-A
To,

(Please select the Desk of Application

Receiving Officer of the Location)

TIN Of The Claimant Dealer v

Details of the Purchases

Table

Tax Invoice Date

Sr. TIN of the
Invoice (YYYY- Net Tax Total
No. Supplier
No. MM-DD)
1 2 3 4 5 6 7

Note:- If the refund is brought forward from the earlier return period, then this
annexure period should be from the first date of such return period till end of the
return period Tin which refund is claimed.
 ANNEXURE-B,
M/s:-______________________________________________________

Date:-

To,

(Please select the Desk of Application

Receiving Officer of the Location)

TIN Of The Claimant Dealer v

Sub: -Request for early grant of Refund amount under the

Voluntary Refund Scheme:-

Ref:- Our refund application in F 501dated___________________

M/s___________________________________________________
For return period ______________________________________
For Amount of Rs. _____________________________________

Sir,
In respect of the above referred refund application, I / we wish to apply
for the early grant of refund under Voluntary Refund Scheme. I/ we shall
adhere to the terms and conditions, if any.
Further, I am/we are aware that any refund as per above scheme, if
wrongly claimed/granted shall be recovered from me/us along with interest
as per the provisions of the Law.
Thanking you.

Yours faithfully,

Name
Designation
Status
 DECLARATION (PART OF ANNEXURE-B)

I/WE, hereby, voluntary agree and declare that, -

1. I/we will provide certified copies of all the returns pertaining to the
period covered by the refund application, if required. (Refund
claiming return as well as the returns in which the amount of set-off
has been carried forward to the next period).
2. In case I/we have received part refund against the refund claimed in
the application then I/we will file only one application in addition to
the application already filed so as to claim the remaining part of the
refund, if any under VRS. Such additional application shall only be
filed after six months from the date of receipt of the said part refund
under the VRS.
3. I/We undertake that I/we shall repay the amount of refund
alongwith interest, if wrongly granted.
4. I/we, hereby, further certify that there are no Sales Tax Dues
outstanding towards us. I/we also declare that the amount of refund
under this application has neither been carried forward to the any of
the subsequent period nor been adjusted against any liability against
us.
5. I/we further, agree that the Commissioner of Sales Tax reserves the
right of refusal of my/our eligibility under VRS.

Yours faithfully,

Name
Designation
Status