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THE GOA VALUE ADDED TAX RULES, 2005 FORMS
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Form VAT XXXV

[See rule 9B(1)]

APPLICATION FOR CARRY FORWARD OF INPUT TAX CREDIT TO SUBSEQUENT YEAR UNDER SECTION 10(2) OF THE GOA VALUE ADDED TAX ACT, 2005 (Act 9 of 2005)

1) TIN
                     
 
2) Name and address of the applicant dealer : ...............................................
3) Quarter/period during which sales are made and in respect of which the ITC is claimed : ...............................................
4) Amount of ITC on closing stock claimed : ...............................................
5)

Details of stock at the beginning of the year  
Total Tax Free Taxable 5% Taxable 12.5% Taxable % Taxable % Taxable % Taxable % Taxable %
                 

 

6)

Details of purchases of goods made within the State against the Tax Invoices related to aforesaid sale of goods or goods utilized in manufacture:
Sr. No. Name of the Seller Seller TIN Name of the Commodity Tax rate % Value Input Tax Credit Total
               

 

7)

Details of purchases of goods made within the State from URD/Composition Dealer:
Sr. No. Name of the Seller Seller TIN Name of the Commodity Tax rate % Value Input Tax Credit Total
               

 

8)

Details of interstate purchase made related to aforesaid sale of goods:
Sr. No. Name of the Seller Seller TIN Name of the Commodity Tax rate % Value Input Tax Credit Total
               

 

9)

Details of sales for the year:  
Sales Total Tax Free Taxable 5% Taxable 12.5% Taxable % Taxable % Taxable % Taxable %
Local                
Interstate                
Export                
Stock                
Transferred                
Total                

 

10)

Percentage of gross profit on the sales for the year:  
Total Tax Free Taxable 5% Taxable 12.5% Taxable % Taxable % Taxable % Taxable % Taxable %
                 

 

11

Details of stock at the end of the year for local purchases:  
Total Tax Free Taxable 5% Taxable 12.5% Taxable % Taxable % Taxable % Taxable % Taxable %
                 

 

12

Details of closing stock at the end of the year for interstate purchases:  
Total Tax Free Taxable 5% Taxable 12.5% Taxable % Taxable % Taxable % Taxable % Taxable %
                 

 

13 Total of input Tax Credit on closing stock claimed for the year : Rs. __________
  Less: i) Proportionate reversal of ITC towards  
  tax free goods (in case of manufacture)......... : Rs. __________
  ii) Proportionate reversal ITC for  
  Stock transfer goods .......................... : Rs. __________
  iii) Reversal of ITC for stock of goods  
  which is non saleable.................................. : Rs. __________
  iv) Reversal of ITC for stock of goods purchases of which made from Un-registered dealer/composition dealer.............................. : Rs. __________
  v) Reversal of ITC for stock of goods on which trade/cash discount allowed............... : Rs. __________
  vi) Reversal of ITC for any other reasons................. : Rs. __________
  Net input tax credit available for the year........................ : Rs. __________
  Less: Net Output Tax..................................................... : Rs. __________
  Net input tax credit carried forward.................................. : Rs. __________

Verification

I/We ........................................................ hereby solemnly affirm and declare that the information given hereinabove is true and correct to the best of my/our knowledge and belief and nothing has been concealed therefrom. Further certified that the particulars indicated above are the correct version of the documents, which are in my/our possession and can be produced before the Commercial Tax Department on Demand.

Date:_________________  
Place:_________________  
  Signature:
  Full name:_________________
  Designation:_______________

For use by the Appropriate Assessing Authority:—

I, ……………………………………… Tax Officer/Assistant Commercial Tax Officer, ……………………… have scrutinized the application and hereby approve carry forward of input tax credit of Rs. ………………… (Rupees ………… .. ……………………………………………………… for the year ……………… This is subject to confirmation in detailed assessment of the dealer, if any, taken up subsequently.

Signature:

Assessing Authority

Name:

Designation: