Transaction_id Sr No 1 2 3 4 5 6 7 8 Box No as per Return Box II Box I Box I Box III Box III Box IV Box 6 Box 7
ACKNOWLEDGEMENT E Return Form III(E) 14400905 Transaction_Date Particulars
Apr 30, 2013 detailes of Amount(Rs.) SHREE HARI UDYOG 27540502984C Original Quarterly From:Jan 1, 2013 To :Mar 31, 2013 3513508.0 274.0 0.0
Name of Dealer C.S.T. R.C. No./ TIN No. Type of Return Periodicity of Return Period Covered by Return
Gross turnover of sale Total Amount of C.S.T Payable Amount deffered ( out of Box ( 6) ( under package scheme of incentives ) if any 9 Box 8 Balance Amount Payable 274.0 10 Box 9(a) a) Interest Payable 0.0 11 Box 9(b) b) Amount ofTax collected in excess of the tax payable if any ( As 0.0 per Box 5) 12 Box 10 Total Amount Payable 274.0 13 Box 10(a) Excess Credit brought forward from previous return 0.0 14 Box 10(b) Excess MVAT refund to be adjusted against the CST liability. 0.0 15 Box 10(c) Amount already paid 274.0 16 Box 10(d) Adjustment of Refund Avaialable as per Refund Adjustment order 0.0 Amount ( Details to be entered in Box 12 (d)) 17 Box 11(a) Excess Credit carried forward to subsequent return 0.0 18 Box 11(b) Excess Credit claimed as refunt 0.0 19 Box 12 Balance Amount payable 0.0 Disclaimer :- This acknowledgement is generated from the information submitted in the return. It should not be treated as the acceptance of claims made in the return. Acknowledgement to be Submitted by the Dealer Place Date (Signature,Name and Designation of Authorised Person)