DOMESTIC TAXES DEPARTMENT
DOMESTIC TAXES DEPARTMENT
DOMESTIC TAXES DEPARTMENT
DOMESTIC TAXES DEPARTMENT
Form code
REBATES SCHEDULE
1. Name of Licensee
2. Licence No.
3. PIN Number
4. Address
5. Telephone
6. Town
7. Cellphone
8. Rebates analysis for the month of
Reasons for Rebate
(Please tick as appropriate)
9. Exports (a)
Sales to AFCO & NAAFI (b)
Ship stores (c )
Destruction under supervision (d)
Sales to privileged Persons (e)
Others (specify) (f)
10.
(a)
(b)
(c)
(d)
(e)
(f)
(g)
(h)
(i)
(j)
Name of
Description of
Date of
Quantity
Duty
Excise
Date
Export
Port of exit
Country
Amount
Customer
goods
sale
e.g.
Rate
duty
duty paid
entry
& date
of
of funds
milles ,
number
destinati
remitted
litres etc.
& date
on
by the
importer
& date
remitted