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THE KERALA VALUE ADDED TAX RULES, 2005 - Forms
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THE KERALA VALUE ADDED TAX RULES, 2005

FORM No. 21B

APPLICATION FOR REFUND OF INPUT TAX

[in the case of interstate sales/interstate stock transfer]

[See Rule 46(2)]

   
Tax Payers dentification No                  
CentralSales Tax No.                  

To

The Registering/Assessing Authority

(with office address)

I/We ...................(Address) do hereby apply for refund of Rs...................Rupess.......................................... (In words) under section 13 of the Kerala Value Added Tax Act, 2003 in respect of the input tax paid on the purchase of goods in relation to goods sold inter-state / sent as inter-state Stock transfer

PART A: PURCHASE OF GOODS (INPUTS)(INCLUDING CAPITAL GOODS) IN RELATION TO THE GOODS SOLD INTER-STATE/ SENT AS INTER-STATE STOCK TRANSFER

TIN of supplier - dealer Name of the Goods Purchased Schedule No. & Entry No. HSN Code Rate of Tax Tax Invoice No. Tax Invoice Date Purchase value of Inputs in relation to goods sold Inter state Input Tax Paid in Relation to Purchases specified in Column No. 7 Purchase value of Inputs in relation to goods sent as Inter state Stock transfer Input Tax Paid in Relation to Purchases specified in Column No. 8 Input tax paid in excess of 4% on purchase value of goods in relation to inter state stock transfer as per column No. 9 Input Tax claimed for refund (As per Column No. 9+11)
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (13)
                         
TOTAL                        

PART- B : INTER - STATE SALE / STOCK TRANSFER IN RELATION TO REFUND FOR INPUTS CLAIMED AS PER PART - A

Name of the Goods sold Interstate/ sent as inter-s tate stock transfer

Schedule No. & Entry No. HSN Code Rate of Tax Particulars of Interstate Sale/Stock transfer bill Interstate sale value (Rs) Interstate Stock transfer value (Rs) Particulars of Central Sales Tax remittance
Bill No Date Amount(Rs) Date Chalan No. Amount(Rs)
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12)
                       
TOTAL                      

DECLARATION

I/We ...............(Name & address) do hereby certify that :-

1. Input tax credit had not been claimed for the above amount of refund on such purchases for any prior return period.

2. Refund adjustment had not been availed of in respect of the above amount of refund towards any dues on any prior occasion.

3. Stock Register has been maintained in accordance with Rule 58 (1)(vi).

Place: (Seal) Name, Signature & Status of the Applicant
Date:  

ENCLOSURES

1. Copies of the transport document (L.R / R.R / Air way bill / Delivery note etc.)

2. Statement of interstate sales/stock transfer vide rule 46(2)(I)

3. Declaration in Form No.44 obtained from the consignee.

4. Declaration in Form No. 21 J.

5. Copies of the Form No. 25 B submitted.

6. Others (specify).

FOR OFFICE USE"