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FORM I – 1 [See rule 7(7)] VALUE ADDED TAX ANNUAL RETURN Name and address of the dealer: To The Assessing Authority _ Circle TIN Year PURCHASES SALES Purchase turnover value inside the State during the year (Rs.) (VAT Paid) (Rs.) Sales turnover / value inside the State (Rs.) Vat collected, if any (Rs.) (a) Goods taxable at 1% (a) Local sales at 1% (b) Goods taxable at 4% (b) Local Sales at 4% (c) Goods taxable at 12.5% (c) Local Sales at 12.5% Total = (a) + (b) + (c) (A) Total = (a) + (b) + (c) (e) Goods exempted 1. Less : Sales return Unfructified sale: Total (C) Zero rate sales Adjustment of advance tax Entry tax paid, if any Total (1 + 2) CAPITAL GOODS OUTPUT ITEMS Tax Paid (Rs.) Exempted Sales Less: Sales return / Unfructified sales During the year (B) 2. Total (D) TOTAL (A+B) TOTAL SALES (C+D) DECLARATION I / We declare that to the best of my / our knowledge and belief the information furnished in the above statement is true, correct and complete. I / We _ declare that I am / We are authorised by __ Proprietor / Partner / Board of Directors to sign the returns. Place : Signature Date: Seal Name Status and relationship to the dealer. ANNEXURE I Details of purchases / receipts during the year Sl. No. Name of the seller Seller's TIN Commodity Code Purchase / Receipt value (Rs.) Rate of Tax VAT / CST paid (Rs.) Category (1) (2) (3) (4) (5) (6) (7) (8) Category: C-Capital goods, E-Exempted, I-Import, O-Inter-State purchases, R-Local Purchase, Input (First schedule), S-Stock receipts from Head office / branches / principals outside the state. A-Purchases effected through agents / Branches, B-Industrial Input ANNEXURE II Details of sales / transfer value during the year Sl. No. Name of the buyer Buyer's TIN Commodity Code Sale value (Rs.) Rate of Tax VAT / CST paid (Rs.) Category (1) (2) (3) (4) (5) (6) (7) (8) Category: E-Exempt, F-First schedule, R-Sales...

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