Form LS-1

(See VAT-R1)

List of sale of goods sold outside the State (and purchased outside the State) for the quarter ended

{fdt} to {tdt}

Name and TIN of Registered dealer furnishing the list

Name and style of business	Symphony Comfort Systems Ltd. (Kundali), C/o Nestle Freight Carriers, Vanaspati Building, Main G.T.Karnal Road, Kundali- Haryana, Haryana.
TIN		Economic Activity Code

Sr. No	Name and Address of the purchaser	TIN if applicable	Sale Invoice No.	Date	Description of goods	Sale Value	State in which goods sold
	1	2	3	4	5	6	7
					Total

DECLARATION

I, …………………………………….. (name in CAPITALS), hereby declare that the contents of the above list and table are true and correct and nothing has been concealed therein.

Place : Full Signature of authorized signatory

Date : Name :

Status :

Form LS-2

(See VAT-R1)

List of sale of goods in the course of interstate trade and commerce for the quarter ended

{fdt} to {tdt}

Name and TIN of Registered dealer furnishing the list

Name and style of business	Symphony Comfort Systems Ltd. (Kundali), C/o Nestle Freight Carriers, Vanaspati Building, Main G.T.Karnal Road, Kundali- Haryana, Haryana.
TIN		Economic Activity Code

Sr. No	Name and address of the purchaser	TIN (if any) with date of Validity	Sale Invoice No.	Date	Description of goods	Quantity / weight	Value of goods	Value of the goods		No. of declaration in form ‘C’ received, if applicable
								Sold against declaration in form ‘C’ (a)	Sold without declaration in the form ‘C” (b)
	1	2	3	4	5	6	7	8	9	10
						Total

DECLARATION

I, …………………………………….. (name in CAPITALS), hereby declare that the contents of the above list and table are true and correct and nothing has been concealed therein.

Place : Full Signature of authorized signatory

Date : Name :

Status :

Form LS-3

(See VAT-R1)

List of sale of goods in the course of import of the goods into the territory of India for the quarter ended

{fdt} to {tdt}

Name and TIN of Registered dealer furnishing the list

Name and style of business	Symphony Comfort Systems Ltd. (Kundali), C/o Nestle Freight Carriers, Vanaspati Building, Main G.T.Karnal Road, Kundali- Haryana, Haryana.
TIN		Economic Activity Code

Sr. No	Name and address of the purchasing dealer	TIN (if any)	Sale Invoice No.	Date	Descript-ion of goods	Quantity / weight	Value of the goods	Name of vessel / Airlines and number and date of bill of lading and date of its endorsem-ent to purchaser if applicable	Name of the Railway, Airport, Road Transport company or Post office by which goods dispatched in India	No. & date of the receipt issued by the Railway, Airport, Road transport company or Post Office.
	1	2	3	4	5	6	7	8	9	10
						Total

DECLARATION

I, …………………………………….. (name in CAPITALS), hereby declare that the contents of the above list and table are true and correct and nothing has been concealed therein.

Place : Full Signature of authorized signatory

Date : Name :

Status :

Form LS-4

(See VAT-R1)

List of sale of goods in the course of export of the goods into the territory of India for the quarter ended

{fdt} to {tdt}

Name and TIN of Registered dealer furnishing the list

Name and style of business	Symphony Comfort Systems Ltd. (Kundali), C/o Nestle Freight Carriers, Vanaspati Building, Main G.T.Karnal Road, Kundali- Haryana, Haryana.
TIN		Economic Activity Code

A- List of sale of goods under section 5(1) of the Central Act.

Sr. No	Sale Invoice / Delivery Note No.	Date	Name & address of the foreign buyer	Descripti-on of godds	Quantity / Weight	Value of the goods	Country of destinati-on	Vessel or Airlines name, date of shipping / Airfreight carrier number by which goods dispatched out of India.
	1	2	3	4	5	6	7	8
					Total A

DECLARATION

I, …………………………………….. (name in CAPITALS), hereby declare that the contents of the above list and table are true and correct and nothing has been concealed therein.

Place : Full Signature of authorized signatory

Date : Name :

Status :

Form LS-4

(See VAT-R1)

List of sale of goods in the course of export of the goods out of the territory of India for the quarter ended

{fdt} to {tdt}

Name and TIN of Registered dealer furnishing the list

Name and style of business	Symphony Comfort Systems Ltd. (Kundali), C/o Nestle Freight Carriers, Vanaspati Building, Main G.T.Karnal Road, Kundali- Haryana, Haryana.
TIN		Economic Activity Code

B- List of sale of goods under section 5(3) of the central Act.

Sr.	Sale Invoice / Delivery Note No.	Date	Name and address of the purcha-ser	TIN	Descripti-on of goods	Quanti-ty / Weight	Value of goods	No. and date of purchase order given by exporter	Number and date of agreement / order received by exporter form buyer.	Name and address of the foreign buyer	No. & date of the certificate in form ‘H’ or from VAT-D2 issued by the purchaser
	1	2	3	4	5	6	7	8	9	10	11
						Total B

DECLARATION

I, …………………………………….. (name in CAPITALS), hereby declare that the contents of the above list and table are true and correct and nothing has been concealed therein.

Place : Full Signature of authorized signatory

Date : Name :

Status :

Form LS-1

(See VAT-R1)

List of sale of goods sold out side the State (and purchased outside the State) for the quarter ended

{fdt} to {tdt}

Name and TIN of Registered dealer furnishing the list

Name and style of business	Symphony Comfort Systems Ltd. (Kundali), C/o Nestle Freight Carriers, Vanaspati Building, Main G.T.Karnal Road, Kundali- Haryana, Haryana.
TIN		Economic Activity Code

Sr. No	Name and address of the purchaser	TIN if applicable	Sale Invoice No.	Date	Description of goods	Sale value	State in which goods sold
	1	2	3	4	5	6	7
					Total

DECLARATION

I, …………………………………….. (name in CAPITALS), hereby declare that the contents of the above list and table are true and correct and nothing has been concealed therein.

Place : Full Signature of authorized signatory

Date : Name :

Status :

Form LS-5

(See VAT-R1)

List of sale of goods to UNICEF, UNTAB, WHO, other prescribed UN Bodies and Foreign Missions for the quarter ended

{fdt} to {tdt}

Name and TIN of Registered dealer furnishing the list

Name and style of business	Symphony Comfort Systems Ltd. (Kundali), C/o Nestle Freight Carriers, Vanaspati Building, Main G.T.Karnal Road, Kundali- Haryana, Haryana.
TIN		Economic Activity Code

Sr. No	Sale Invoice No.	Date	Description of goods	Sale value	Name of the purchasing agency / mission
	1	2	3	4	5
			Total

DECLARATION

I, …………………………………….. (name in CAPITALS), hereby declare that the contents of the above list and table are true and correct and nothing has been concealed therein.

Place : Full Signature of authorized signatory

Date : Name :

Status :

Form LS-6

(See VAT-R1)

List of sale of goods consigned for sale to agents (who are VAT dealers) in the State for the quarter ended

{fdt} to {tdt}

Name and TIN of Registered dealer furnishing the list

Name and style of business	Symphony Comfort Systems Ltd. (Kundali), C/o Nestle Freight Carriers, Vanaspati Building, Main G.T.Karnal Road, Kundali- Haryana, Haryana.
TIN		Economic Activity Code

Sr. No	Name and address of VAT dealer to whom goods were dispatched	TIN	Name of Commodity	Quantity	Value	Details of goods sold by agent(s) during the period		Stock of goods lying with agent (s) at the end of the period
						Quantity	Sale Value
	1	2	3	4	5	6	7	8
				Total

DECLARATION

I, …………………………………….. (name in CAPITALS), hereby declare that the contents of the above list and table are true and correct and nothing has been concealed therein.

Place : Full Signature of authorized signatory

Date : Name :

Status :

Form LS-7

(See VAT-R1)

List of sale of goods consigned exported out of the State (consignment / transfers) for the quarter ended

{fdt} to {tdt}

Name and TIN of Registered dealer furnishing the list

Name and style of business	Symphony Comfort Systems Ltd. (Kundali), C/o Nestle Freight Carriers, Vanaspati Building, Main G.T.Karnal Road, Kundali- Haryana, Haryana.
TIN		Economic Activity Code

Sr. No	Delivery Note No.	Date	Name and address of the Consignee	Tin	Description of goods	Quantity / Weight	Value of the goods	No. of declaration in Form ‘F’ received
	1	2	3	4	5	6	7	8
						Total

DECLARATION

I, …………………………………….. (name in CAPITALS), hereby declare that the contents of the above list and table are true and correct and nothing has been concealed therein.

Place : Full Signature of authorized signatory

Date : Name :

Status :

Form LS-8

(See VAT-R1)

List of sale of goods disposed of otherwise than by sale for the quarter ended

{fdt} to {tdt}

Name and TIN of Registered dealer furnishing the list

Name and style of business	Symphony Comfort Systems Ltd. (Kundali), C/o Nestle Freight Carriers, Vanaspati Building, Main G.T.Karnal Road, Kundali- Haryana, Haryana.
TIN		Economic Activity Code

Sr. No	Description of goods	Quantity	Value	Value of goods purchased from			Input Tax on Purchases from VAT dealers in the State.
				VAT dealers in the State	Outside the State against ‘C’ form	Other sources
	1	4	5				8

DECLARATION

I, …………………………………….. (name in CAPITALS), hereby declare that the contents of the above list and table are true and correct and nothing has been concealed therein.

Place : Full Signature of authorized signatory

Date : Name :

Status :

Form LS-8

(See VAT-R1)

List of sale of goods in the State for the quarter ended

{fdt} to {tdt}

Name and TIN of Registered dealer furnishing the list

Name and style of business	Symphony Comfort Systems Ltd. (Kundali), C/o Nestle Freight Carriers, Vanaspati Building, Main G.T.Karnal Road, Kundali- Haryana, Haryana.
TIN		Economic Activity Code

A. List showing sale of goods to registered dealers at full rate of tax

Sr. No.	Name with TIN of the registered-dealer to whom goods sold		Turnover of sale taxable at different rates
	(a)		(b)
	Name	TIN	(i) @ 1%	(ii) @ 4%	(iii) @ 12%	(iv) @ 12. 50%	(v) @ 20%
1	Albino Electricals	06071307113				92,136.82
2	A-One Trade Link	06191316577				5,82,353.57
3	Bhalla Electronics	06311026384				4,10,547.28
4	Dawar International	06891918350				12,61,622.00
5	Goel Enterprise (H)	06542823522				4,50,803.30
6	Janki Dass & Co.	06582907890				1,00,686.06
7	Kataria Marble & Electric Store	06331203883				1,36,317.70
8	K.K. Enterprise	06722229395				4,47,369.45
9	Krishanlal & Co.	06151303407				1,64,373.24
10	Naman Electronics	06691701974				88,721.75
11	Nutec Marketing	06211531712				1,76,880.78
12	Pawan Trading Company	06261101732				70,675.52
13	Punjab Electrical	06311316705				1,26,688.90
14	Puri Traders	06693006624				87,426.68
15	Reliancedigital Retial Limited	06861827835				45,792.00
16	Shree Natraj Furniture House	06652704782				1,06,833.62
17	Usha Electricals	06592816462				1,11,308.44
18	Woolworths Wholesale (India) Pvt. Limited	06861312571				5,72,450.00
		Total				50,33,287.11

DECLARATION

I, …………………………………….. (name in CAPITALS), hereby declare that the contents of the above list and table are true and correct and nothing has been concealed therein.

Place : Full Signature of authorized signatory

Date : Name :

Status :

Form LS-9

(See VAT-R1)

List of sale of goods in the State for the quarter ended

{fdt} to {tdt}

Name and TIN of Registered dealer furnishing the list

Name and style of business	Symphony Comfort Systems Ltd. (Kundali), C/o Nestle Freight Carriers, Vanaspati Building, Main G.T.Karnal Road, Kundali- Haryana, Haryana.
TIN		Economic Activity Code

B. List showing sale of goods to authorized dealers at Lower rate of tax applicable under section 7(2)

Sr.No.	Name with TIN of authorized dealers to whom goods sold		Turnover of sale taxable at different rates
	(a)		(b)
	Name	TIN	(i) @4%	(ii)@ %	(iii) @ %	(iv) @ %	(v) @ %
		Total

DECLARATION

I, …………………………………….. (name in CAPITALS), hereby declare that the contents of the above list and table are true and correct and nothing has been concealed therein.

Place : Full Signature of authorized signatory

Date : Name :

Status :

Form LS-9

(See VAT-R1)

List of sale of goods in the State for the quarter ended

{fdt} to {tdt}

Name and TIN of Registered dealer furnishing the list

Name and style of business	Symphony Comfort Systems Ltd. (Kundali), C/o Nestle Freight Carriers, Vanaspati Building, Main G.T.Karnal Road, Kundali- Haryana, Haryana.
TIN		Economic Activity Code

D. Summary of taxable sales made in the State during the return period

Sr.No.	Category of Sale	Turnover of sale taxable at different rates
	(a)	(b)
		(i) @1%	(ii)@ 4%	(iii) @ 12 %	(iv) @ 12.50%	(v) @ 20 %
1	Sale to registered dealers at full rate of tax (List A)				50,33,287.11
2	Sale to authorized dealers at lower rate of tax (List B)
3	Sale to unregistered dealers & consumers at full rate of tax
4	Total of row 1 to 3				50,33,287.11

Gross total of sub-columns (i) to (v) : 50,33,287.11

DECLARATION

I, …………………………………….. (name in CAPITALS), hereby declare that the contents of the above list and table are true and correct and nothing has been concealed therein.

Place : Full Signature of authorized signatory

Date : Name :

Status :

Form LS-10

(See VAT-R1)

List of sale of goods returned and escalation or de-escalation in the price of good sold for the quarter ended

{fdt} to {tdt}

Name and TIN of Registered dealer furnishing the list

Name and style of business	Symphony Comfort Systems Ltd. (Kundali), C/o Nestle Freight Carriers, Vanaspati Building, Main G.T.Karnal Road, Kundali- Haryana, Haryana.
TIN		Economic Activity Code

A. List of return of goods sold

Sr. No	Particular of Debit-cum-Delivery Note (DDN) issued by the Person to whom the goods were sold and who returned the same					Particulars of the original sale invoice(s) issued for the sale of the goods
	Name of the Person issuing DDN	TIN, if held	No.	Date	Amount	No.	Date	Amount	Nature of Sale
	(a)	(b)	(c)	(d)	(e)	(f)	(g)	(h)	(i)
1	Visu Machine Tools (R)	06921325633	CN/2/KUN	2-2-2008	1,425.00
				Total	1,425.00		Total

DECLARATION

I, …………………………………….. (name in CAPITALS), hereby declare that the contents of the above list and table are true and correct and nothing has been concealed therein.

Place : Full Signature of authorized signatory

Date : Name :

Status :

Form LS-10

(See VAT-R1)

List of sale of goods returned and escalation or de-escalation in the price of good sold for the quarter ended

{fdt} to {tdt}

Name and TIN of Registered dealer furnishing the list

Name and style of business	Symphony Comfort Systems Ltd. (Kundali), C/o Nestle Freight Carriers, Vanaspati Building, Main G.T.Karnal Road, Kundali- Haryana, Haryana.
TIN		Economic Activity Code

B. List of escalation in the price of goods sold.

Sr. No	Particular of supplementary sale invoice issued to the purchaser for escalation in the price of the goods sold previously					Particulars of the original sale invoice(s) issued for the sale of the goods
	Name of the Purchaser	TIN, if held	No.	Date	Amount	No.	Date	Amount	Nature of Sale
	(a)	(b)	(c)	(d)	(e)	(f)	(g)	(h)	(i)
				Total	1,425.00		Total

DECLARATION

I, …………………………………….. (name in CAPITALS), hereby declare that the contents of the above list and table are true and correct and nothing has been concealed therein.

Place : Full Signature of authorized signatory

Date : Name :

Status :

Form LS-10

(See VAT-R1)

List of sale of goods returned and escalation or de-escalation in the price of good sold for the quarter ended

{fdt} to {tdt}

Name and TIN of Registered dealer furnishing the list

Name and style of business	Symphony Comfort Systems Ltd. (Kundali), C/o Nestle Freight Carriers, Vanaspati Building, Main G.T.Karnal Road, Kundali- Haryana, Haryana.
TIN		Economic Activity Code

C. List of de-escalation in the Price of goods sold

Sr. No	Particular of Debit Note (DN) raised by the purchaser for de-escalation in the price of the goods sold previously					Particulars of the original sale invoice(s) issued for the sale of the goods
	Name of the Person raising DN	TIN, if held	No.	Date	Amount	No.	Date	Amount	Nature of Sale
	(a)	(b)	(c)	(d)	(e)	(f)	(g)	(h)	(i)
				Total	1,425.00		Total

DECLARATION

I, …………………………………….. (name in CAPITALS), hereby declare that the contents of the above list and table are true and correct and nothing has been concealed therein.

Place : Full Signature of authorized signatory

Date : Name :

Status :

Form LS-10

(See VAT-R1)

List of sale of goods returned and escalation or de-escalation in the price of good sold for the quarter ended

{fdt} to {tdt}

Name and TIN of Registered dealer furnishing the list

Name and style of business	Symphony Comfort Systems Ltd. (Kundali), C/o Nestle Freight Carriers, Vanaspati Building, Main G.T.Karnal Road, Kundali- Haryana, Haryana.
TIN		Economic Activity Code

D. Summary of value of goods returned and escalation or de-escalation in the price of goods sold

Nature of Sales and breakup to Turnover according to rate of tax		Value of goods returned	Escalation in price of goods sold	De-escalation in price of goods sold	Net effect of goods returned and (de-) / escalation
(a)		(b)	(c)	(d)	(e)=(c)-(b)-(d)
(1) Local Sales - VAT & Others
Break-up of Local Sales VAT & Others	1%
	4%
	12%
	12.50%	1,425.00			(-)1,425.00
	20%
(2) Inter-State Sales
Break-up Inter-State Sales
(3) Export Sales
(4) Import Sales

DECLARATION

I, …………………………………….. (name in CAPITALS), hereby declare that the contents of the above list and table are true and correct and nothing has been concealed therein.

Place : Full Signature of authorized signatory

Date : Name :

Status :