Form VAT 15

Form VAT 15

Return by a Taxable Person

(See rule 36)

VRN

For Period (dd.mm.yy)

From: {fdt}

To: {tdt}

Name of the person:	Symphony Comfort Systems Ltd (Zirakhpur) –(From 1-Apr – 2004)
Address of the person:	Village Pabhat, (B/h.Mayur Restaurant), Near Ramdev Godown,, Zirakhpur-Dist-Ropar
	PIN :	State: Punjab
	Tel :
	E-mail address:

1.	SALES DETAILS	Amount
(a)	Gross Sales	{turnoversales}
(b)	Less: Sales within the State by the exempted units	Nil
(c)	Less: Zero Rated Sales	Nil
(d)	Less: Inter-State Sales	Nil
(e)	Less: Tax Free Sales	Nil
(f)	Less: Sales return, Cash/Trade Discount	Nil
(g)	Less: Tax element included in sales	Nil
(h)	Less: Purchase value of sale of goods, purchased from exempted units and sold to persons Other than taxable persons.	Nil
(i)	Any Other Deductuon, please specify	Nil
(j)	Net sales subject to VaT	{turnoversales}

2.	PURCHASE DETAILS	Amount
(a)	Gross Purchases (including capital goods and goods received by stock transfer)	{RID45}
(b)	Less: lmports from outside India	Nil
(c)	Less: Inter-state Purchases / goods received from Branches/principals	{RID45}
(d)	Less: Purchases made directly from exempted units	Nil
(e)	Less: Tax free Purchases	Nil
(f)	Less: Purchases from persons other than taxable persons	Nil
(g)	Less: Purchases against ‘H’ form	Nil
(h)	Less: Purchases liable to Purchase Tax u/s 19 (1) & 20 in the hands of the person filing The return	Nil
(i)	Less: Purchases not eligible for input tax credit under Section 13 (5)	Nil
(j)	Less: Purchases return and cash/trade discount	Nil
(k)	Any other deduction, please specify	Nil
(l)	Net purchases eligible for input tax credit [a-(b+c+d+e+f+g+h+i+j+k)]	Nil

3.	OUTPUT TAX	Amount
(a)	VAT on net taxable sales during the return period	{vat744}
(b)	Add: Purchase Tax on turnover as per Col.2(h)	Nil
(c)	Add/Less: Prior period net adjustment of output tax	Nil
(d)	Total Output tax	{vat744}

4.	INPUT TAX CREDIT (ON ACTUAL BASIS)	Amount
(a)	ITC brought forward from previous return period	Nil
(b)	Add Instalment of ITC on stocks held on appointed day	Nil
(c)	Add TDS against Tax Deductuon Certificate	Nil
(d)	Add ITC on purchases made during the period as per col. 2(I)	Nil
(e)	Add: ITC, debited earlier, on goods received back after job wotk u/s 13(3)	Nil
(f)	Add/less: Prior period net adjustment to input tax	Nil
(g)	Add: Any other, please specify	Nil
(h)	Total input tax credit available	Nil
(i)	Less: apportionment of ITC for manufacturing tax free goods	Nil
(k)	Less: apportionment of ITC u/s 13 (3)	Nil
(l)	Less: ITC on goods sent for job work u/s 13(3)	Nil
(m)	Less: reversal of ITC	Nil
(n)	Less: Any other, please specify	Nil
(o)	Total (i+j+k+l+m+n)	Nil
(p)	Net input tax credit available (h-o)	Nil

· Gross sales will also include sale value of goods involved in the execution of works contract or taxable job work, but excludes Commission sales by Kacha Arhtiyas, Branch transfers and consignment transfers.

5.	GOODS PURCHASED FROM EXEMPTED UNITS	Amount
(a)	Total Purchases made during the return period (as per col.2 (d))	Nil
(b)	Less: Goods return and cash/trade discount	Nil
(c)	Less: Goods used in the manufacture of tax free goods	Nil
(d)	Less: Goods exported out of India	Nil
(e)	Less: Goods used un consignment /branch transfer	Nil
(f)	Less: Capital goods	Nil
(g)	Less: Sales made to pesons other than taxable persons	Nil
(h)	Less: Goods not eligible for input tax credit under section 13 (5)	Nil
(i)	Less: Any other goods on which notional input tax credit is not available	Nil
(j)	Net purchases eligible for notional input tax credit	Nil

5A.	INPUT TAX CREDIT (ON NOTIONAL BASIS) (on purchases from exempted units only)	Amount
(a)	Brought forward from previous return period	Nil
(b)	Add notional ITC on purchases from exempted units as per col. 5(j)	Nil
(C)	Total notional input tax credit available	Nil

6.	TAX PAYABLE/EXCESS INPUT TAX CREDIT	Amount
(a)	Total output tax [as per 3(d)]	{vat744}
(b)	Less: Monthly tax paid (as per 2nd proviso to rule 36) (i) 1st month of the quarter (ii) 2st month of the quarter
(c)	Less: Net ITC as per col. 4(p)	Nil
(d)	Difference (a-b-c) (If output tax is more than input tax, balance be adjusted out of Notional ITC, if any. Otherwise amount is to be deposited)	{vat744}
(e)	Excess ITC, if any after adjustment in (d) (i) Actual (ii) Notional
(f)	Less: CST liability for the return period, if any (Adjustment against CST)
(h)	Excess ITC after adjustment under (g) (i)Actual (ii) Notaional
(i)	Less: Actual ITC out of col. (h) to be challan VAT-2
(j)	Balance excess ITC, if any , to be carried forward to the next return: (i) Actual (ii) Notional
(k)	Net tax payable	{vat744}
(l)	(i) 90% VAT payable under ‘0040’ in challan VAT-2	{90ofVat744}
	(ii)10% VAT payable under Punjab Municipal fund in challan VAT-2A	{10ofVat744}

7.	DETAILS OF TAX PAYMENT DURING THE RETURN PERIODB

Challan instrument No.	Date (dd.mm.yy)	Bank/Treasury	Branch code	Amount
‘0040’ (90%)
Punjab Municipal Fund (10%)
Total(90%+10%)

8.	For units availing Exemption or Deferment	Amount
(a)	Entitlement certificate no. & date
(b)	Date of expiry of exemption/deferment
(c)	Total amount of exemption / deferment allowed
	(i) Exemption/deferment available at the beginning of the return period (including under CST Act) (ii) Exemption/deferment availed during the return period (iii) Balance at the end of the return period
(d)	Admissible amount of refund on tax paid purchases
(e)	Goods sent on consignment/stock transfer basis

9.	Miscellaneous information (wherever applicable)	Amount
(a)	Value of branch Transfers/Consignment Transfers made during the return period	{stktrsale}
(b)	Value of Commission Sales made by Kacha Arhtiya during return period	Nil
(c)	Payments made to contractor (s) sub-contraactor(s)
(d)	Proof of payment of TDS
(e)	Value of Capital Goods purchased from taxable persons	Nil

Declaration: I, solemnly declare that to the best of my knowledge and belief, the information given on this from is true

And correct

NAME & STATIS:

SIGNATURE DATED :

WORKSHEET

1.	BREAK UP OF TAXABLE SALES AND PURCHASE IN PUNJAB (EXCLUDING CAPITAL GOODS)
1(a) Rate	1(b) Gross Sales	VAT	1(c)Gross Purchases	VAT
At 1%	Nil	Nil	Nil	Nil
At 4%	Nil	Nil	Nil	Nil
At 8.80 %	Nil	Nil	Nil	Nil
At 12.50 %	{sales12vat}	{vat744}	Nil	Nil
At 20%	Nil	Nil	Nil	Nil
At 22%	Nil	Nil	Nil	Nil
At 27.50%	Nil	Nil	Nil	Nil
At 30%	Nil	Nil	Nil	Nil
Total	{sales12vat}	{vat744}

2.	BREAK UP OF GOODS SOLD UNDER UNDER WORKS CONTRACT

2(a) Gross value	2(b) Less: Value of labour	2(c) Taxable value	2(d) Rate wise Break up	2(e) Output tax
			At 1%
			At 4%
			At 12.60%
			At 20%
			Total
			Less TDS
			Net Output tax

3.	BREAK UP OF GOODS SOLD UNDER WORKS CONTRACT
3(a) Category		3(b) Gross Sales	3(c)Less: Sales Returns	3(d) Less: Discounts	3(e) Net Sales
Direct Export out of India
Sale against H form

4.	PRIOR PERIOD ADJUSTMENTS
4(a) Prior period adjustments of Sales		4(b) Adjustment In Sale	4(c) Adjustment In Ouput tax	4(d) Prior period adjustment of Purchases	4(e) Adjustment In Purchase	4(f) Adjustment In Input tax
Cancellation of Sales				Cancellation of Purchase
Sales Returns				Purchase Returns
Change in nature of sales				Chang in nature of purchase
Change in sale consideration				Chang in purchase consideration
Total				Total

5.	Any other adjustment (Please specify)

BREAK UP OF DEDUCTIONS FROM SALES AND PURCHASES
Deductions from sales for the current period		Deductions from Purchase for the current period
Sales Returns	Nil	Purchase Returns	Nil
Cash/Trade Discount	Nil	Cash/Trade Discount	Nil
Amount charged separately as interest for sales by hire-purchases/installment purchase	Nil	Cancellation of Purchases	Nil
Cancellation of sales	Nil	Change in nature of Purchase	Nil
Change in nature of sales	Nil	Change in Purchase consideration
Change in sale consideration	Nil	Others (pl specify nature)
Value of goods originally purchased from exempt unit	Nil
Others (Pl. specify nature)	Nil
Total deductions	Nil	Total deductions	Nil

Form VAT 16

(See rule 36)

(To be submitted along with TR for monthly payment of tax)

TAX PERIOD (MONTH)

1.	Particulars of Business
1.1	Full Name of Applicant (M/s)	Symphony Comfort Systems Ltd (Zirakhpur)
1.2	Address of Applicant	Village Pabhat, (B/h.Mayur Restaurant), Near Ramdev Godown,, Zirakhpur-Dist-Ropar, Purnjab
		PIN:	State: Punjab
		Tel:	Fax:

1.3

VRN

During the Tax Period

2. Details of Taxable Sales
Value of Imports from Outside India	Value of inter -state purchases	Value of intra-state purchases					VAT paid on Purchases (Input Tax)		ITC/BF from Previous Period
		Purchases u/s 19	Purchases u/s 20	Purchases From Exempted Units	Other Purchases		Actual	Notional
					From Taxable person-s	From Non -taxable- persons
Nil	Nil	Nil	Nil	Nil	Nil	Nil	Nil	Nil	Nil

During the Tax Period

3. Details of Taxable Sales
Value of exports from Out of India	Value of inter state Sales		Value of intra-sate sales		VAT (output tax)
	Assessable Value	CST	To taxable Persons	To non-taxable Persons
Nil	Nil	NI	Nil	Nil	{vat744}

Net Tax Payable = Output Tax – Input Tax (including brought forward, if any, from previous return)					Amount {vat744}
(i) 90% VAT Payable under ‘0040’ in chalan VAT – 2					{90ofVat744}
(ii)10% VAT Payable under Punjab Municipal fund in chalan VAT -2A					{10ofVat744}

Declaration: I, solemnly declare that to the best of my knowledge and belief, the information given on this form is true

And correct

Name :_____________________________ Designation :__________________________________

Signature & Seal :____________________________ Date (dd. mm. yy) :___________________________________

Form VAT – 20

(See rule 40)

Annual statement by a taxable person

(Please read the INSTRUCTION carefully before filling the from and worksheet)

VRN

For period From: _{fdt}_ To: {tdt}

PART A

1.	SALES DETAILS	As per Books	As per Returns Filed	Difference, if any
(a)	Gross Sales		{turnoversales}
(b)	Less: Sales within the State by the exempted units		Nil
(c)	Less: Zero Rated Sales		Nil
(d)	Less: Inter-State Sales		Nil
(e)	Less: Tax Free Sales		Nil
(f)	Less: Sales return, Cash/Trade Discount		{salereturn}
(g)	Less: Tax element included in sales		Nil
(h)	Less: Purchase value of sale of goods, Purchased from exempted units and sold to Persons other than taxable persons.		Nil
(i)	Any Other Deduction, please specify		Nil
(j)	Net sales subject to VAT		{netsale}

2.	PURCHASE DETAILS	As per Books	As per Returns Filed	Difference, if any
(a)	Gross purchases (including capital goods and goods received by stock transfer)		{turnoverpurch}
(b)	Less: lmport from outside India		Nil
(c)	Less: Inter-state Purchases/goods received from Branches/principals		{RID45}
(d)	Less: Purchases made directly from exempted units		Nil
(e)	Less: Tax Free Purchases		Nil
(f)	Less: Purchases from persons other taxable persons		Nil
(g)	Less: Purchases agains ‘H’ form		Nil
(h)	Less: Purchase liable to Purchase Tax u/s 19 (1) & 20 in the hands of the person filing the return		Nil
(i)	Less: Purchases not eligible not eligible for input tax credit under Section 13 (5)		Nil
(j)	Less: Purchases return and cash/trade discount		Nil
(k)	Any other deduction, please specify		Nil
(l)	Net purchases eligible for input tax credit [a-(b+c+d+e+f+g+h+i+j+k)]		Nil

3.	OUTPUT TAX	As per Books	As per Returns Filed	Difference, if any
(a)	VAT on net taxable sales during the return period		{vat744}
(b)	Add: Purchase Tax on turnover as per Col.2(h)		Nil
(c)	Add/Less: prior period net adjustment of output tax		Nil
(d)	Total Opt put tax		{vat744}

4.	INPUT TAX CREDIT (ON ACTURAL BASIS)	As per Books	As per Returns Filed	Difference, if any
(a)	ITC brought forward from previous return period		Nil
(b)	Add Instalment of ITC on stocks held on appointed day		Nil
(c)	Add ITC against Tax Deduction Certificate		Nil
(d)	Add ITC on purchases made during the period as per col. 2 (I)		Nil
(e)	Add: ITC, debited earlier, on goods received back after job work u/s 13(13)		Nil
(f)	Add/less: Prior period net adjustment to input tax		Nil
(g)	Add: Any other, please specify		Nil
(h)	Total input tax credit available		Nil
(i)	Less: apportionment of ITC for manufacturing tax free goods		Nil
(j)	Less: apportionment of ITC for branch transfer		Nil
(k)	Less: apportionment of ITC u/s 13(4)		Nil
(l)	Less: ITC on goods sent for job work u/s 13(3)		Nil
(m)	Less: reversal of ITC		Nil
(n)	Less; Any other, please specify		Nil
(o)	Total (i+j+k+l+m+n+)		Nil
(p)	Net input tax credit available (h-o)		Nil

* Gross sales will also include sale value of goods involved in the execution of works contract or taxable job work, but

excludes Commission sales by Kacha Arhtiyas, Baranch transfers and consignment transfers.

5.	GOODS PURCHASED FROM EXEMPTED UNITS	As per Books	As per Returns Filed	Difference, if any
(a)	Total purchases made during the return period (as per col.2 (d))		Nil
(b)	Less: Goods return and cash/trade discount		Nil
(c)	Less: Goods used in the manufacture of tax free goods		Nil
(d)	Less: Goods exported out of India		Nil
(e)	Less: Goods used in consignment /branch transfer		Nil
(f)	Less: Capital goods		Nil
(g)	Less: Sales made to persons other than taxable persons		Nil
(h)	Less: Goods not eligible for input tax credit under section 13(5)		Nil
(i)	Less: Any other goods on which notional input tax credit is not available		Nil
(j)	Net purchases eligible for notional input tax credit		Nil

5A.	INPUT TAX CREDIT (ON NOTIONAL BASIS) (on purchases from exempted units only)	As per Books	As per Returns Filed	Difference, if any
(a)	Brought forward from previous return period		Nil
(b)	Add notional ITC on purchases from exempted units as per col. 5(j)		Nil
(c)	Total notional input tax credit available		Nil

6.	TAX PAYABLE/EXCESS INPUT TAX CREDIT	As per Books	As per Returns Filed	Difference, if any
(a)	Total output tax [as per 3(d)]		{vat744}
(b)	Less: Monthly tax paid (as per 2nd proviso to rule 36) (i) 1St month of the quarter (ii) 2nd month of the quarter
(c)	Less: Net ITC as per col. 4(p)		Nil
(d)	Difference (a-b-c) (If output tax is more than input tax, balance be adjusted out of Notional ITC, if any. Otherwise amount is to be deposited)		{vat744}
(e)	Excess ITC, if any, after adjustment in (d) (i) Actual (ii) Notional
(f)	Less: CST liability for the return period, if any (Adjustment against CST)
(g)	Difference (e-f) (If output tax is more than input tax, balance be adjusted out of Notional ITC, if any. Otherwise amount is to be deposited)
(h)	Excess ITC after adjustment under (g): (i) Actual (ii) Notion
(i)	Less: Actual ITC out of col. (h) to be claimed as refund
(j)	Balance excess ITC, if any, to be carried forward to the next return: (i) Actual (ii) Notional
(k)	Net tax payable		Nil
(l)	(i) 90% VAT payable under ‘0040’ in challan VAT-2		Nil
	(ii)10% VAT payable under Punjab Municipal fund in challan VAT -2A		Nil

7.	DETAIL OF TAX PAYMENT DURING THE RETURN PERIOD
Challan instrument No.		Date (dd.mm.yy)	Bank/Treasury	Branch code	Amount
‘0040’(90%)

8.	For units availing Exemption or Deferment	Amount
(a)	Entitlemen certificate no. & date
(b)	Date of expiry pf exemption/deferment
(c)	Total amount of exemption / deferment allowed
	(i) Exemption/deferment available at the beginning of the return period (including under CST Act) (ii)Exemption/deferment availed during the return period (iii) Balance at the end of the return period
(d)	Admissible amount of refund on tax paid purchases
(e)	Goods sent on consignment /stock transfer basis

9.	Miscellaneous information (wherever applicable)	Amount
(a)	Value of Branch Transfers/Consignment Transfers made during the return period	{stktrsale}
(b)	Value of Commission Sales made by kacha Arhtiya during return period	Nil
(c)	Payments made to contractors(s) sub-contractor (s)
(d)	Proof of payment of TDS
(e)	Value of Capital Goods purchased from taxable persons	Nil

Declaration: I, solemnly declare that to the best of my knowledge and belief, the information given on this form is

True and correct

NAME & STATUS:

SIGNATURE DATED:

PART B

(INFORMATION BE CERTIFIED AS CORRECT BY CHARTERED ACCOUNTANT IN

CASE OF PERSONS WHOSE TURNOVER EXCEEDS Rs. 50 LAKH.)

10. DETERMINATION OF OUTPUT TAX ON SALES
Rate of Tax		Turnover	Output tax
1	1	Nil	Nil
2	4	Nil	Nil
3	8.80	Nil	Nil
4	12.50	{sales12vat}	{vat744}
5	20	Nil	Nil
6	22	Nil	Nil
7	27.50	Nil	Nil
8	30	Nil	Nil
Total		{sales12vat}	{vat744}

11. BREAK UP OF ZERO RATED SALES
(a) Category	(b) Gross Sales	(c) Less: Sales Returns	(d) Less: Discounts	(e) Net Sales
Direct Export out of India
Sale against H form

12. BREAK UP OF DEDUCTIONS FROM SALIES AND PURCHASES
(a) Deductions from sales for the statement period		(b) Deductions from Purchase for the statement period
Sales Returns	{salereturn}	Purchase Returns	Nil
Cash/Trade Discount	Nil	Cash/Trade Discount	Nil
Amount charged separately as interest for sales by hire-purchase/omstallment purchase	Nil	Cancellation of Purchases	Nil
Cancellation of sales	Nil	Change in nature of Purchase
Change in nature of sales	Nil	Change in Purchase consideration
Change in sale consideration	Nil	Others (pl specify nature)
Purchase value of goods purchased from exempted unit and sold to person other than taxable person	Nil
Others (Pl. specify nature)	Nil
Total deductions	{salereturn}	Total deductions	Nil

13. DETERMINATION OF TAX ON PURCHASE
Purchases made U/S 19 (Schedule ‘H’ goods)	Nil
Purchases made U/S 20	Nil
Turnover liable to tax.	Nil

14. PURCHASE TAX PAYABLE
Rate of Tax		Turnover	Tax
1	1	Nil	Nil
2	12.50%	Nil	Nil
3	20	Nil	Nil
4	22	Nil	Nil
5	27.50%	Nil	Nil
6	30%	Nil	Nil
7	4	Nil	Nil
8	8.80	Nil	Nil
Total		Nil	Nil

WORKSHEET

1.	BREAK UP OF TAXABLE SALES AND PURCHASE IN PUNJAB (EXCLUDING CAPITAL GOODS)
1(a) Rate	1(b) Gross Sales	VAT	1(c)Gross Purchases	VAT
At 1%	Nil	Nil	Nil	Nil
At 4%	Nil	Nil	Nil	Nil
At 8.80 %	Nil	Nil	Nil	Nil
At 12.50 %	{sales12vat}	{vat744}	Nil	Nil
At 20%	Nil	Nil	Nil	Nil
At 22%	Nil	Nil	Nil	Nil
At 27.50%	Nil	Nil	Nil	Nil
At 30%	Nil	Nil	Nil	Nil
Total	{sales12vat}	{vat744}

2.	BREAK UP OF GOODS SOLD UNDER UNDER WORKS CONTRACT

2(a) Gross value	2(b) Less: Value of labour	2(c) Taxable value	2(d) Rate wise Break up	2(e) Output tax
			At 1%
			At 4%
			At 12.50%
			At 20%
			Total
			Less TDS
			Net Output tax

3.	BREAK UP OF GOODS SOLD UNDER WORKS CONTRACT
3(a) Category		3(b) Gross Sales	3(c)Less: Sales Returns	3(d) Less: Discounts	3(e) Net Sales
Direct Export out of India
Sale against H form

4.	PRIOR PERIOD ADJUSTMENTS
4(a) Prior period adjustments of Sales		4(b) Adjustment In Sale	4(c) Adjustment In Ouput tax	4(d) Prior period adjustment of Purchases	4(e) Adjustment In Purchase	4(f) Adjustment In Input tax
Cancellation of Sales				Cancellation of Purchase
Sales Returns				Purchase Returns
Change in nature of sales				Chang in nature of purchase
Change in sale consideration				Chang in purchase consideration
Total				Total

5.	Any other adjustment (Please specify)

BREAK UP OF DEDUCTIONS FROM SALES AND PURCHASES
Deductions from sales for the current period		Deductions from Purchase for the current period
Sales Returns	{salereturn}	Purchase Returns	Nil
Cash/Trade Discount	Nil	Cash/Trade Discount	Nil
Amount charged separately as interest for sales by hire-purchases/installment purchase	Nil	Cancellation of Purchases	Nil
Cancellation of sales	Nil	Change in nature of Purchase	Nil
Change in nature of sales	Nil	Change in Purchase consideration
Change in sale consideration	Nil	Others (pl specify nature)
Value of goods originally purchased from exempt unit	Nil
Others (Pl. specify nature)	Nil
Total deductions	{salereturn}	Total deductions	Nil

Place :

Date

<%=date%>

SIGNATURE AND SEAL

OF THE AUTHORISED PERSON

FORM 1

(Form of Return under Rule 7 of the Central Sales Tax (Punjab) Rule, 1957)

Return for the Period From: _{fdt}___________To: _{tdt}_________

Registration No. 60498919 dt. 7/5/93_

Name of the Dealer Symphony Comfort Systems Ltd (Zirakhpur)

Status Whether Individual / Hindu Undivided Family / Association /Club / Company / Firm / Guardian or Trustee

Style of the Business: ________________________________________________________________________________

1) Gross amount received or receivable by the Dealer during the period of Goods {turnoversales}

Deduct:

(a) Sales of goods outside the State (as defined in section 4 of the act.) Nil

(b) Sales of goods in the course of export outside Nil

(c)Turnover of goods in the transferred outside the State as referred to in Sub-section 6 A(l) {stktrsale}

India as defined in section 5 of the Act.

2) Balance—Turnover on lnter-State Sales and Sales within the State {netsale}

Deduct- Turnover on Sales within the State {netsale}

3). Balance – Turnover of Inter-State Sales Nil

Deduct – Cost of Freight, Delivery or Installation when such cost is separately charged Nil

4) Balance- Total Turnover on Inter-State Sales Nil

Deduct:

(a)Turnover of Inter-State Sales of goods unconditionally exempted from tax under the Punjab General Sales Tax Act, 1948 * Nil

*Includes Sale to SEZ against Form I Sec. 8(6) / Sales to Diplomatic mission & UN Sec.6(3)

(b) Turnover of Sales of goods returned by the purchaser within a period of six months under

Sec. 9(A)(b) of Central Sales Tax 1956. Nil

(d) Deduction U/s 8A(1)(a) of the Act Nil

5. Balance – Taxable Turnover in respect Inter-State Sales Nil

Goods – Wise break up of above Nil

(a)DECLARED GOODS, Sold to registered Dealers on prescribed Declaration (Vide declaration attached) Nil

Sold otherwise Nil

(b)OTHER GOODS,Sold to registered Dealers on prescribed Declaration (Vide declaration attached) Nil

Total Nil

(i) Taxable at ________________% Rs. _______________ On which Tax amounts to Rs. _________________

Total Tax payable on Rs. _____________________________amounts to Rs

Tax paid, if any, by means of Treasury Challan/Cheques/Draft No.____________Dated ________________

Balance Due / Excess paid, if any Rs _________________

I declare that the statement made by me & furnished in and with this return are true and complete.

Place: _______________ Signature ………………………………

Date : ______________ Status : ______________________

_______________________________________________________________________________________________________