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THE PUNJAB VALUE ADDED TAX FORMS, 2005.
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FORM VAT 21

(See Rule 40)

ANNUAL STATEMENT BY A REGISTERED PERSON

(Please read the INSTRUCTIONS CAREFULLY before filling the form)

TRN                   For period (dd.mm.yy) From ________ To _________

Name of the person:  
   
Address of the person:  
   
  Pin State:
  Tel Fax
  E-mail address:  

1 SALES DETAILS Q 1 Q 2 Q 3 Q 4
(a) Gross Sales during the year        
(b) Less: Tax free sales        
(c) Less: Returns        
(d) Less: Cash/Trade discount        
(e) Net taxable sales during the year subject to TOT        

2 PURCHASE TAX        
(a) Purchases u/s 20        
(b) Purchases tax payable        

3 PURCHASE DETAILS Q 1 Q 2 Q 3 Q 4
(a) Gross Purchases        
(b) Tax free purchases        

4 PRIOR PERIOD ADJUSTMENT OF SALES Q 1 Q 2 Q 3 Q 4
(a) Cancellation of sales        
(b) Sales returns        
(c) Any other (specify)        
(d) Net prior period adjustments        

5 OUTPUT TAX Q 1 Q 2 Q 3 Q 4
(a) TOT on net taxable sales within the year as per 1 (e)        
(b) Add : Purchase tax as per 3(b)        
(c) Increase/Decrease in tax based on prior period adjustment        
(d) Net output tax +[54(a)+5(b)+5(c)]        
(e) Amount of tax deposited as per 5(d)        

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   Date (dd. mm. yy)  

4 TOTAL AMOUNT PAYABLE/FOR THE YEAR  

5 REFUND DUE, IF ANY.  

INSTRUCTIONS FOR FILLING THE FORM

1. Please fill all the fields in the form and the annex as applicable.

2. The Annual Statement has to be filled on or before 20th August of the following year.

3. In case of minors, the specimen signature of guardian/trustee should be furnished.

4. All amount should be reported in Rupees only.

Place : ____________________