FORM VAT – 10

[See Rule 19]

Quarterly Return

Date of filing …………….

…………………………….

Signature of assessing

Authority / authorized officer.

1.1	Name of dealer: Symphony Comfort Systems Ltd (Jaipur)
1.2	Registration No. (TIN): 08883951121
1.3	Address: Nanji Ka Bagh., Moti Dungri Road Jaipur

2	Due date of filing
3	Return period From {fdt}               To : {tdt}
4	DETAILS OF TURNOVER OF SALES		AMOUNT
4.1	Gross Turnover [Including Turnover of Purchase Liable to Tax U/S 4(2)]		{turnoversales}
	Deduct:
4.2	Sales returns within the Return period	Nil
4.3	Turnover of Exempted Sales	Nil
4.4	Turnover of goods on which Input Tax Credit is not allowed	Nil
4.5	Turnover of Sales to exporters (against Form Vat-15)	Nil
4.6	Turnover of Inter-State Sales	Nil
4.7	Turnover of Sales outside the State of Rajasthan	{sales12vat}
4.8	Turnover of Export Sales	Nil
4.9	Other deductions, if any: 1…………… 2……………
4.10	Total (4.2 to 4.9)		{sales12vat}
4.11	Taxable Turnover [(4.1)-(4.10)]		{tottaxturnover}

5	COMPUTATION OF OUTPUT TAX
	Name of Commodity	Turnover	Tax Rate	Output Tax
5.1		Nil	1%	Nil
5.2		{totwithouttax}	12.50%	{vat740}
5.3		Nil	4%	Nil
5.4
5.5
5.6	Total	{totwithouttax}		{vat740}

6	COMPUTATION OF PURCHASE TAX
	Name of Commodity	Turnover	Tax Rate	Output Tax
6.1		Nil	1%	Nil
6.2		Nil	4%	Nil
6.3		Nil	12.50%	Nil
6.4
6.5
6.6	Total	Nil		Nil

7	REVERSE TAX	Reverse Tax Amount
7.1	On Return of goods purchased (including capital goods)	Nil
7.2	On goods purchased from registered dealers for purpose specified in Section 18(1) (a) to (g) and disposed off otherwise	Nil
7.3	On Stock remained in case of switch over of option [See Rule 17(3)]	Nil
7.4	In any other case (Please specifty)	Nil
7.5	Total	Nil

8	COMPUTATION OF INPUT TAX (OTHER THAN CAPITAL GOODS EXCEEDING RUPEE ONE LAC PER ITEM)
8.1	Purchase value (excluding VAT) as per VAT invoices	Tax Rate	Input Tax
8.2		1%	Nil
8.3		4%	Nil
8.4		12.50%	Nil
8.5
8.6	Total:		Nil

9	COMPUTATION OF INPUT TAX (OTHER THAN CAPITAL GOODS EXCEEDING RUPEE ONE LAC PER ITEM)
9.1	Purchase value (excluding VAT) as per VAT invoices	Tax Rate	Input Tax
9.2		4%	Nil
9.3		12.50%	Nil
9.4	Total		Nil
9.5	ITC Claimed in the Quarter:		Nil
9.6	ITC carried forward:

10	COMPUTATION OF INPUT TAX FOR LEASE TRANSACTIONS
	Purchase value (excluding VAT) as per VAT invoices of leased goods or raw materials thereof	Tax Rate	Input Tax
10.1		1%	Nil
10.2		4%	Nil
10.3		12.50%	Nil
10.4		----%
10.5	Total:		Nil

11	COMPUTATION OF TOTAL INPUT TAX	AMOUNT
11.1	B/F from earlier periods	Nil
11.2	On purchase of goods other than capital goods (enclose calculation sheet)	Nil
11.3	On Capital goods (enclose calculation sheet)	Nil
11.4	On Lease of goods (enclose calculation sheet)	Nil
11.5	Total Input Tax:	Nil

12	TAX PAYABLE/ DEFERRED	AMOUNT
12.1	TAXPAYABLE [(5.6+ (6.6)+(7.5))	{vat740}
12.2	Total Input Tax (11.5)	Nil
12.3	Net Tax Payable	{vat740}
12.4	Tax Deferred	Nil

13	DETAILS OF DEFERMENT/EXEMPTION	Name	Period	Amount
13.1	Name of Deferment/Exemption Scheme with E.C. No
13.2	Eligible Amount and Period
13.3	Extent of Deferment/Exemption
13.4	Amount availed up to last Quarter
13.5	Amount availed during the Quarter
13.6	Balance eligible Amount

14	DETAILS OF DEPOSITS
	Period	Due Date	Deposit Date	Amount	Delay in Deposit	Interest Payable	Interest deposit date

15	ADJUSTMENTS
	When the Net Payable amount (12.3) is negative	Period	Amount
15.1	Adjust against CST dues (Specify period)		Nil
15.2	Adjust against VAT dues (Specify period)		Nil
15.3	Adjustment under Repealed Act (Specify period)		Nil
15.4	Any other dues		Nil
15.5	Balance carried forward [(12.3)-(15.1 to 15.4)]		Nil

16	REFUNDS
16.1	Refund Claimed	Cause of Refund	Amount

17 Cases of evasion or avoidance made out by the Department, if any, during the tax period with date and result thereof:

18 Any other information which dealer wants to mention:

Enclosures (if any):

1. Part IV of Challans
2. ___________________________________________
3. ___________________________________________
4. ___________________________________________
5. ___________________________________________
6. ___________________________________________

Signature ___________________________

Name:

Status:

Place:

Date:

Verification:

I/We verify that the above information and its enclosures is true and correct to the best of my/our knowledge and belief.

I/We declare on oath the I/We have assessed tax, interest and other dues etc on the basis of facts and information, which is true and correct to the best of my/our knowledge and belief.

Signature______________________

Name:

Status:

Place:

Date:

Acknowledgement

Number:

Signature:

Name: Seal

Designation:

Place:

Date: