THE KERALA
VALUE ADDED TAX RULES, 2005 FORM No. 10
Return [for VAT Dealer] (See Rule 22(1)) HELP LINE DEALER
DETAILS
(Specify whether Monthly/ OR Quarterly/Annually) A. TURNOVER DETAILS (VATABLE GOODS) A(i). SALES/ DISPOSALS (With Output Tax Liability)
A(iii) Particulars of Turnover of Dealers in medicine (paying Tax under Section 8) Turnover of medicines included under this head Shall not be included under item A(i)
A(v) Total Turnover under the KGST Act, 1963.
B.REVERSE TAX (With Output Tax libility)
C. PURCHASES (With or without Input Tax Credit)
*Value shown here should be exclusive of VAT Paid D. SPIAL REBATE U/S.12
E. Input Tax Crdit Credit on Capital Goods
Details of Bill/Invoice issued.-
VAT Payable
(H) Net Tax = (G-F) 0 (I) Tax deferred =
____________Nil (J) Net Tax payable (H-I) = _____________ 0 (K) Net Tax Creditable = (F-G)
_____________Nil (L) Amount adjusted towards arrears for
previous return periods u/s 11(6) _____________Nil (M) Amount adjusted towards CST for the current
months _____________Nil (N) Balance
Tax at Credit Carried forward to next return period =[K-(L=M)] _____________Nil (In words) Rupees (O) Compounded Tax payable for Medicine
U/S 8 _____________Nil Payment Details
ENCLOSURES ATTACHED (1) Statement of Local Sales to VAT Dealers showing Invoice No. & Date, Y or N Goods, Value, Particulars of the buyer with TIN etc. (2) Statement of Inter-State Sales in the form given under clause (i) of sub-rule(2) of Rule 46 Y or N
(3) Statement of Inter-State Stock transfer showing Invoice No. & Date, Goods Y or N Value, Particulars of the Consignee with TIN etc. (4) Statement of Export Sales with full details Y or N (5) Statement of local Purchases showing Invoice No., Date, Goods, Y or N Value, Particulars of the seller with TIN etc. (6) Statement of Inter-State Purchases showing Invoice No. Date. Goods, Y or N Value, Particulars of the seller with TIN etc. (7) Statement of Local Purchases from persons other than Registered Dealers Y or N
(8) Statement of Local purchases with full details Y or N (9) Statement of Local/Inter-State/Import Purchases of Capital Goods with full details Y or N (10) Statement of credit/debit notes Y or N (11) Delivery notes/Delivery chalan etc Y or N
(12) Declaration forms (form Nos. 25D/25E/25E/42/43/44/45) Y or N
(13) Stock inventory as on 31st March (along with annual return) Y or N (14) Statement of Goods Sold/disposed of from quantity discount received Y or N (15) Cheque/Chalan/Demand Draft Y or N (16) Proof of payment of entry tax Y or N (17) Others (specify) Y or N SELF-ASSESSMENT DECLARATION (1) I/We declare that I/We have compared the above particulars with the records and books of my/our business and the Same are truly, correctly and completely stated. (2) Certified that I/We have duly paid tax under the Kerala Value Added Tax Act, 2003 on maximum retail price at the point Of First sale in respect of sales of medicines mentioned above. In respect of sales of taxable medicines other than first Sales, shown as exempted, I/We have purchased the goods from a dealer who has paid tax on MRP at the point of first above particulars with The records and books of my/our business and the same are true, correct and complete. (3) I/We certify that the net tax due has been paid at the designated bank (Chalan enclosed). Signature Name : Status: (Whether Proprietor, Manager Partner, Director, Secretary etc. with seal) Tick Which ever is applicable Place: (Seal) Date: FOR OFFICE USE (1) Date of filling of return : [Acknowledgement to be issued to the dealer before the due date for the filling of returns for the Next return period.] (2) Whether return accepted/ found defective: (3) If the return is defective, defects found. (4) Date of issue of notice: (5) Date of compliance: (6) State whether fresh return filed and if so details: (7) Details of payments (of additional demand): (8) Signature of the official making data entry (9) Signature of the assessing authority ACKNOWLEDGEMENT The undersigned acknowledges the receipt of the original of the return for the month of / quarter ending /year On the day of ..200 .. Date of receipt of return Signature of the receiving officer (Seal) |