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									                                     ANNEXURE I-(A)

                               of Form III(Amended-1)

                                      Purchase List




1- TIN of the Dealer


2- Name and Address of the Dealer-




3-                         Period-      To



4- List of tax charged by the registered selling dealers on the turnover of State
purchases of NON CAPITAL VAT GOODS in respect of which I.T.C is claimed-

 Sl. Name of        Date of     TIN of Invoice          Sale    Rate of      Amount      Name of
 No.  regd.         invoice      regd.   No.           value      tax          of tax     goods
     Selling       issued by    selling               (before   charged      charged    purchased
      dealer       the regd.    dealer                  tax)                   in the
       and           selling                                                  invoice
     place of        dealer
       H.O.
  1
     2

                       TOTAL(1+2+.........)
             Signature

                         (Authorised
Signatory)

                         Status-
                                  ANNEXURE I-(B)

                             of Form III(Amended-1)

                                     Purchase List



1-TIN of the Dealer


2- Name and Address of the Dealer-



3-                            Period To




4- List of tax charged by the registered selling dealers on the turnover of State
purchases of CAPITAL VAT GOODS in respect of which I.T.C is claimed-

 Sl. Name of           Date of     TIN Invoice   Sale  Rate of          Amount        Name of
 No. regd.             invoice       of   No.   value    tax              of tax       goods
     Selling          issued by    regd.       (before charged          charged      purchased
     dealer and       the regd.   selling        tax)                     in the
     place of           selling   dealer                                 invoice
     H.O.               dealer

     1
     2

                      TOTAL(1+2+.........)




                                                           Signature

                                                                       (Authorised
Signatory)
                                                      Status-




                                   ANNEXURE I-(C)

                             of Form III(Amended-1)

                                     Purchase List




1- TIN of the Dealer


2- Name and Address of the Dealer-




3-                       Period-       To
4- List of tax charged by the registered selling dealers on the turnover of State
purchases of NON CAPITAL VATABLE FUEL in respect of which I.T.C is claimed-

 Sl. Name of      Date of      TIN of    Invoice     Sale     Rate of     Amount        Name of
 No. regd.        invoice       regd.      No.      value       tax         of tax       goods
     Selling      issued by    selling             (before    charged     charged      purchased
     dealer       the regd.    dealer                tax)                   in the
     and place    selling                                                  invoice
     of H.O.      dealer

  1
  2

        TOTAL                    (1+2+.........)




                                                             Signature

                                                                         (Authorised
Signatory)

                                                                         Status-
                                     ANNEXURE -2

                                of Form III (Amended-1)

                                      SALES LIST




1-TIN of the Dealer


2- Name and Address of the Dealer-



                       3-                                                      Period

To


4- List of tax charged, on the turnover of State sales of VAT GOODS(including Capital
Goods), from the registered purchasing dealers-

 Sl. Name of             Date of      TIN of    Invoice      Sale    Rate of    Amount    Name
 No. regd.               invoice     purchasi     No.       value      tax        of tax of goods
     purchasin          issued to    ng regd.              (before   charged    charged    sold
     g dealer              the        dealer                 tax)                 in the
     and place        purchasing                                                 invoice
     of H.O.          regd. dealer

  1
  2

      TOTAL                                        (1+2+.........)




                                                                           Signature

                                                                          (Authorised
Signatory)
Status-
                                      ANNEXURE -3

                                 of Form III (Amended-1)

                                   INTER-STATE SALES




1-TIN of the Dealer




2- Name and Address of the Dealer-




3-                                 Period                           To



4- List Of Regd. Dealerwise Inter-State Sales

 Sl.           Name and       Destination       TIN           Sale       Invoice        Basic Sale
 No.         address of the      State         of the       invoice       date         Value(before
              Purchasing                    purchasing        No.                         Tax)
              regd. dealer                  regd. dealer
 (i)
 (ii)

     Total                                             (i+ii+---)




                                                                         Signature

                                                                         (Authorised
Signatory)

                                                                          Status-
                                  ANNEXURE -4

                             of Form III (Amended-1)

                           STOCK TRANSFER /CONSIGNMENT




1. TIN of the Dealer

2. Name and Address of the Dealer-




                                                             3. Period    To

4- Regd. Dealer wise List Of INTER-STATE STOCK TRANSFER / CONSIGNMENT

 Sl.       Name and       Destination    TIN of the    Challan/Invoice   Date of     Value of
 No.     address of the      State       Consignee           No.         Challan/     Goods
          Consignee                       Dealer                         Invoice
            Dealer
 (i)
 (ii)
 Total                               (i+ii+---)




                                                                         Signature


                                                                     (Authorised
                                                                      Signatory)

                                                                           Status-
                                 ANNEXURE - 5

                           of Form III   (Amended-1)

                INTER-STATE SALES TO EXPOTERS (DEEMED EXPORT)_




1-TIN of the Dealer


2- Name and Address of the Dealer-



3-Period                        To



4- Regd. Exporter wise List Of OF INTER-STATE SALES (DEEMED EXPORT)

 Sl.       Name and      Destination       TIN          Sale          Invoice   Sale Value
No.       address of the   State     of the          invoice No.   Date          as per
           Purchasing.             Purchasing.                                  Invoice
            Exporter                Exporter
(i)
(ii)
       Total                            (i+ii+---)




                                                                    Signature

                                                                   (Authoris
                                                                   ed
                                                                   Signatory)

                                                                    Status-
                                           ANNEXURE -6

                                       of Form III (Amended-1)

                                   INTER-STATE SALES IN TRANSIT




1-TIN of the Dealer


2- Name and Address of the Dealer-




3-Period                                     To




4- Regd. Delaer wise List OF INTER-STATE SALES IN TRANSIT

 Sl.            Name and address                  TIN             Sale Invoice   Invoice           Basic Sale
 No.      of the purchasing regd. dealer   of the purchasing          No.         Date          Value(before Tax)
                                              regd. dealer
 (i)
 (ii)
        Total                                        (i+ii+---)




                                                                                           Signature

                                                                                       (Authoris
                                                                                           ed
                                                                                       Signatory)

                                                                                       Status-
                                    ANNEXURE -7

                              of Form III (Amended-1)

                             INTER-STATE SALES TO SEZ

      (DETAILS OF INTER-STATE SALES TO REGISTERED. SEZ DEALERS DURING THE PERIOD)




1-TIN of the Dealer


2- Name and Address of the Dealer-



3-                              Period                          To



4- Registered. SEZ Dealer wise List OF INTER-STATE SALES
Sl.       Name and address of the   Destination      TIN          Sale Invoice   Invoice Date   Sale Value
No.        purchasing SEZ dealer       State        of the            No.                         as per
                                                  purchasing                                     Invoice
                                                  SEZ dealer
(i)
(ii)
       Total                                         (i+ii+---)




                                                                                  Signature

                                                                                  (Authoris
                                                                                      ed
                                                                                  Signatory)

                                                                                   Status-
                                            ANNEXURE -8

                                     of Form III(Amended-1)

                      INTER-STATE SALES TO INTERNATIONAL BODY




1- TIN of the Dealer


2- Name and Address of the Dealer-



3- Period      ------------------------           To    ----------------------------




4- LIST OF INTER-STATE SALES TO INTERNATIONAL BODY (CST-Sec6 (4))
 Sl.   Name and address                   Destination   Sale Invoice No.         Invoice Date         Sale Value
 No.   of the purchasing                     State                                                  as per Invoice
       International Body




                                                                  TOTAL




                                                                           Signature


(Authorised Signatory)

                                                                                          Status-
                                         ANNEXURE -9

                                     of Form III (Amended-1)

                                 EXPORT OUT OF COUNTRY




1-TIN of the Exporter


2- Name and Address of the Exporter



3-Period     ---------------------             to -----------------------

4- LIST OF EXPORT OUT OF COUNTRY DURING THE PERIOD)

  Sl.      Name of the Importing         No- and Date of Air consignment      Sale     Invoice   Sale Value
  No.            Country                  Note /Bill of Lading/any other     Invoice    Date     in Rupees
                                                     document                  No.




                                                                            TOTAL




                                                                        Signature


(Authorised Signatory)

                                                                                       Status-
                                          ANNEXURE -10

                                      of Form III (Amended-1)

                     NON TAXABLE INTER-STATE SALES (Otherwise)




1- TIN of the Dealer




2- Name and Address of the Dealer-



3- Period     ---------------------             To -----------------------



4- LIST OF NON TAXABLE INTER-STATE SALES (Otherwise)

 Sl.    Name and address      Destination             TIN               Sale       Invoice    Sale   Reason of
 No.   of the purchaser          State        of the purchaser (if   Invoice No.    Date     Value     non-
                                                      any)                                           taxability




                                            TOTAL




                                                                          Signature

                                                                                       (Authorised
Signatory)

                                                                                        Status-
                                            ANNEXURE -11

                                    of Form III(Amended-1)

                  PURCHASE/CONSIGNMENT RETURN OF TAXABLE GOODS



1- TIN of the Dealer




2- Name and Address of the Dealer-



3- Period     -------------------------         To      -----------------------------



4- Details of purchase return within the State

 Sl.    Name        TIN of     Purchase       Date on    Challan       Details    Details of   Amount     Name of
 No.      and         the       invoice        which      no. and         of        credit      of Tax    commo-
       address      selling     no. and        goods       date,       credit       notes      shown in     dity
        of the       regd.        date       returned    through        notes     issued by     credit
        selling     dealer                       or        which       issued        the         /debit
         regd.                               rejected      goods       by the     purchaser       note
        dealer                                           returned       seller



                                            TOTAL




5- Details of purchase/consignment returned to outside the State

 Sl.    Name        TIN of     Purchase       Date on   Challan       Details     Details of   Amount     Name of
 No       and         the     invoice no.      which     no. and      of cedit      credit      of Tax    commo-
       address      selling    and date        goods      date,         notes       notes      shown in     dity
        of the       regd.                   returned   through        issued     issued by     credit
        selling     dealer                                which        by the        the         /debit
         regd.                                            goods         seller    purchaser       note
        dealer                                          returned



                                                                             TOTAL
                                                                      Signature


(Authorised Signatory)

                                                                                  Status-




                                       ANNEXURE -12

                                  of Form III (Amended-1)

        COMPUTATION OF REVERSE TAX CREDIT DUE TO STOCK TRANSFER



1- TIN of the Dealer




2- Name and Address of the Dealer-




3- Period    -------------------------- To ------------------------



4- Computation of reverse Tax Credit due to stock transfer
             Signature

                   (Authorised
Signatory)

                    Status-
                                  ANNEXURE -13

                             of Form III (Amended-1)

         COMPUTATION OF REVERSE TAX CREDIT DUE TO OTHER REASONS



1- TIN of the Dealer




2- Name and Address of the Dealer-




                            3-                                           Period
To




4- Computation of reverse Tax Credit due to other reasons




                                                            Signature

                                                              (Authorised
Signatory)

                                                               Status-
                                           ANNEXURE -14

                                       of Form III (Amended-1)

                        SALE (TAXABLE) RETURN WITHIN SIX MONTH



1- TIN of the Dealer




2- Name and Address of the Dealer-




                                3-                                Period                          To

4- Details of sale (taxable) return within the State(within six month)

 Sl.     Name and        TIN of the         Sale    Date on    Challan no.   Details of     Amount of         Name of
 No.     address of     purchasing        invoice    which      and date,     credit           Tax           commodity
            the         regd. dealer      no.and     goods       through      /debit         shown in
        purchasing                          date    received      which       notes           credit
        regd. dealer                                              goods                     /debit note
                                                                received



                                                                         TOTAL




5- Details of sale (taxable) return from outside the State(within six month)

 Sl.     Name and       TIN of the          Sale    Date on    Challan no.     Details of      Amount of        Sl.No
 No    address of the   purchasing        invoice    which      and date,       credit         Tax shown          of
        purchasing      regd. dealer      no. and    goods       through        /debit          in credit      Form-16
        regd. dealer                        date    received   which goods      notes          /debit note       used
                                                                received



                                                                 TOTAL
                                                              Signature

                                                                          (Authorised
Signatory)

                                                                          Status-




                                    ANNEXURE -15

                                of Form III(Amended-1)

               TAX CREDIT FOR REASONS OTHER THAN SALE RETURN



1- TIN of the Dealer




2- Name and Address of the Dealer-




                               3-                                              Period
To




4- Details of tax credit for reasons other than sale return
             Signature

                         (Authorised
Signatory)

                         Status-
                                          ANNEXURE -16

                                  of Form III (Amended-1)

                            TAX DEDUCTED AT SOURCE (TDS)



1- TIN of the Dealer


2- TDAN of the Person (if not a Regd. Dealer)



3- Name and Address of the Dealer




                                   4-                                               Period
To




5- Details of TDS

 Sl.      Name and             TIN          Amount of     Date of   Amount   Challan no. and      Total
 No.    address of the    of the dealer     payment on   payment    of TDS    date by which     amount of
          Employer/       from whom         which TDS                        TDS deposited     the challan
         Person who           T.D.S          deducted
       deducted the Tax     deducted




                                          TOTAL
             Signature

                         (Authorised
Signatory)

                         Status-

								
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