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

FORM 18

{See rule 20(2)(b)}

Statement showing details of the particulars furnished in the quarterly returns for the year______________

TIN

Period of Annual Statement

From

(For Office 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. .................................................................................................................................................

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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 u/s 9

Taxable purchase price

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	On Capital Goods	On goods other than Capital Goods	Total
(a)	Balance input tax rebate brought forwarded from the last year
(b)	On goods purchased during the year (Tax amount shown seperetly in purchase bills)-
	(i) @ 1%
	(ii) @ 2%
	(iii) @ 4%
	(iv) @ 5%
	(v) @ 10%
	(v) @ 14%
	Total
	Gross Total (a) + (b)

11.

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

12.

Adjustment of Input Tax Rebate:-

(i)- Adjusted against the Payable Tax and Interest

(ii)- Adjusted against the Central Sales Tax

(iii)- Input tax rebate claimed as cash refund

Total (i + ii + iii + iv )

13.

Amount of input tax rebate carried over to next year (10-11)

14.

Tax deducted at source u/s 27

15.

Amount of exemption/deferment from payment of tax as 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 payable amount [9-17]

19.

Payment Details

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

20.

Balance payable amount (if any)

21.

Refund amount (if any)

22.

Amount adjusted in next year from the amount of refund

Part 'B'

Statement of rate wise stock of goods

S. No.	Page of the ledger	Name of the goods trading A/C	Rate of Tax	Opening balance	Purchase	Closing Balance	Sale
(1)	(2)	(3)	(4)	(5)	(6)	(7)	(8)

Part 'C'

List of sales return within 6 months

S. No.	Name of dealer with Address to whom goods have been sold	R.C.No. / TIN No.	Description of Goods sold	Sale Invoice No. and date	Amount of sales return	date of goods return	Remarks
(1)	(2)	(3)	(4)	(5)	(6)	(7)	(8)

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

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	TIN No.	Description of goods purchased	Amount of total purchase (with tax)	Amount of tax
(1)	(2)	(3)	(4)	(5)	6)


	Total

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"

List of inter-state purchases (Quarterly)

S. No.	Period of quarter	Name of dealer with Address to whom goods have been sold	R.C.No. / TIN No.	Description of Goods sold	Value	'C' Form No.	Remarks
(1)	(2)	(3)	(4)	(5)	(6)	(7)	(8)

				Total

List of Inter-state sales (Quarterly)

S. No.	Period of quarter	Name of dealers with Address to whom goods sold	TIN No.	Description of goods Purchased	Value	'C' Form No.	Remarks
(1)	(2)	(3)	(4)	(5)	(6)	(7)	(8)

				total

List of received goods from out of state consignment/branch transfer

S. No.	Name of Consignment Agent/ branch with Address	TIN No	Description of goods	Value	'F' Form No.	Remarks
(1)	(2)	(3)	(4)	(5)	(6)	(7)

		total

List of sales out of state/consignment/ branch transfer

S. No.	Name of dealer with Address	R.C.No. / TIN No.	Description of Goods	Value	'H' Form No.	Remarks
(1)	(2)	(3)	(4)	(5)	(6)	(7)

			Total

Note : Enclose 'F' form

List of sales in the course of export out of the territories of india

S. No.	Name of dealer with Address	R.C.No. / TIN No.	Description of Goods sold	Value	'F' Form No.	Remarks
(1)	(2)	(3)	(4)	(5)	(6)	(7)

			Total

Note : Enclose 'H' form/ form 26

S. No.	Name of dealer with Address	R.C.No. / TIN No.	Description of Goods sold	Value	'I' Form No.	Remarks
(1)	(2)	(3)	(4)	(5)	(6)	(7)

			Total

Note : Enclose 'I' form

List of T.D.S. Certificate u/s. 27

S. No	Name of the person making TDS	Amount of TDS	Challan No. of TDS deposited	Date	Remarks
(1)	(2)	(3)	(4)	(5)	(6)

			Total

Note:- Enclose TDS certificate."

List of sales against declaration by collection of tax at concessional rate of tax

S. No.	Name of dealer with Address to whom goods have been sold	R.C.No. / TIN No.	Description of Goods sold	Rate of Tax	Amount of sale	Remarks
(1)	(2)	(3)	(4)	(5)	(6)	(7)

				Total

Note : Enclose declaration forms

List of sales against declaration without collection of tax

S. No.	Name of dealer with Address to whom goods have been sold	R.C.No. / TIN No.	Description of Goods sold	Rate of Tax	Amount of sale	Remarks
(1)	(2)	(3)	(4)	(5)	(6)	(7)

				Total

Note : Enclose declaration forms

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

Place ..................................	Signature ..................................
Date ..................................	Designation ..................................
	Seal of Dealer ..................................

"Acknowledgement and Verification Form

1. Statement transaction No.................................................

2. Statement/revised statement..................................

3. TIN ..............................................................................

4. Dealer's Business Name.................................................

5. Dealer's Name................................................

6. Address ........................................................................

7. Act type .........................................................................

8. Period...........................................................

9. Financial Year....................................................

10. Gross Turnover..................................................

11. Submission dated...............................................

12. Challan details:-

S.No.	Challan No.	Date	Amount	Name of the Bank Branch

13. Other document:-

Particulars	No. of document	Amount
TDS Certificate
F form
H form
Form 26
I form___
Other

Declaration

The particulars given above against Statement Identification No................. are true the best of my knowledge and belief.

Place:................	Signature of Dealer.......................
Dated:..............	Designation.......................
Date of receipt, Official seal
	Signature, Name/designation of employee, receiving statement