The Chhattisgarh Value Added Tax Rules, 2006. - FORMS
-

Body

FORM 17

[See rule 20(2)(a)]

TIN
2	2

Return for the Period

From

(For official use only)

Date of receipt

Signature ...............................................

Name .....................................................

Designation ............................................

Name of the dealer ...........................................................................................................................

Address ............................................................................................................................................

Phone/Fax No. .................................................................................................................................

Name and Address of Branch Offices within Chhattisgarh State, if any -

1. ............................................................................................................................................

2. ............................................................................................................................................

------------------------------------------------------------------------------------------------------------------------------------------------

Gross Turnover

*Gross Turnover on the basis of maximum Retail Price if option has been taken for payment of tax on Maximum Retail Price of medicine.

Less - (i) Sale value of goods return within six month of sales

(ii) Cash discount allowed

(iii) Amount of labour charges included in Value of Work Contract, if it has not been deducted from Gross Turnover

Net Turnover

Deductions :-

(i) Tax free sales u/s 15 and 15(B) -

(ii) Tax paid Sales- u/s 2(x) -

(iii) Turnover of the goods supplied in the execution of works contract on which tax has been paid by sub-contractor

(iv) Turnover of the goods on which tax has been paid or payable by commission agent

(v) Turnover of the goods on which tax has been paid by principal

(vi) Deductions u/s 38 -

(a) Sales out of State/Consignment/Branch transfer

(b) Sales in the Course of Interstate trade or Commerce

(d) Sale made to registered dealers u/s38(1)(iv) (special economic zone)

(vii) Other deduction (give details)

(a)

(b)

(viii) Tax amount included in gross turnover

Total Deductions :

Taxable Turnover -

S. No.	Taxable Turnover	Rate of Tax	Tax Amount
1		1%
2		2%
3		4%
4		5%
5		14%
6		25%
		Total :

Tax Payable u/s 13(5)

Purchase Tax

Taxable amount

Purchase Tax Payable

Total Tax Payable (4+5+6)

Amount of interest, if any

Total (7+8) :

10.

Computation of input tax rebate -

On stock u/s 73 / u/s 13(1)

On capital goods

On goods other than capital goods

Total

(a)

Balance input tax rebate brought forwarded from Last quarter/ year

(b)

On goods purchases within the quarter (Tax amount shown separately in purchase bills)-

(i) @ 1% --

(ii) @ 2% --

(iii) @ 4% --

(iv) @ 5% --.

(v) @ 10% --.

(vi) @ 14% --.

Total :

Gross Total (a+b) :

Deduct- Amount of input tax rebate adjusted (As per serial No. 12)

12.

Adjustment of input tax rebate :-

(i) Adjusted against the quarter

(ii) Adjusted against the Central Sales Tax

(iii) Input tax rebate claimed as cash refund

Total (i+ii+iii) -

13.

Amount of input tax rebate carried forward to next quarter/year (10-11)

14.

Tax deducted at source u/s 27

15.

Amount of exemption from payment of tax on the goods purchased from New Industries

16.

Amount of exemption from payment of tax on the goods Purchased from New Industries

17.

Total [12(i)+14+15+16]

18.

Balance payment amount [9-17]

19.

Payament details:-

S. No.	Chalan No.	Date	Amount	Name of Bank	Branch





		Total :

20.

Balance payable amount (if any)

21.

Refund amount (if any)

22.

Amount adjusted in next quarter from the amount of refund

The particulars given above are true to the best of my knowledge & belief.

List of purchases from such dealers within the state from whom purchases of more than Rs. 3 lac in a year have been made

(i) List of purchases from such registered dealers within the State on which input tax rebate has been claimed under Section 13

S. No.	Name of dealer from whom goods purchased	TIN No.	Description of goods purchased	Amount of total purchase (with tax)	Amount of input tax rebate
(1)	(2)	(3)	(4)	(5)	(6)


	Total

(ii) List of purchases from such registered dealers within the State on which input tax rebate has not been claimed under Section 13

S. No.	Name of dealer from whom goods purchased	TINN0.	Description of goods purchased	Amount of total purchase with tax	Amount of tax
(1)	(2)	(3	(4)	(5)	(6)


	Total

(iii) List of sales to registered dealers within the State

S. No.	Name of dealer to whom goods sold	TIN No.	Description of goods sold	Amount of total sales (with tax)	Amount of tax collected in sale invoices
(1)	(2)	(3)	(4)	(5)	6


	Total

Place __________	Signature ................................................
Date ___________	Designation .............................................
	Seal of dealer, if any ..............................

------------------------------------------------------------------------------------------------------------------------------------------------

Acknowledgment

Received quarterly return for the period ............................................. to .......................................................

in form 17 from M/s...........................................................................................................................................

TIN

along with challans detailed below :-

S. No.	Chalan No.	Date	Amount	Name of Bank	Branch





		Total :

Return receipt number ......................

Date .................................

Office Seal	-----------------------------------
	Signature, Name and designation of employee receiving return