Form RT-IV

Quarterly Return to be filed by dealers paying tax under section 15 of the Bihar Value Added Tax Act, 2005

[See Rule 19]

Name and style of the dealer:

Taxpayer Identification Number:

Period of the return (Quarter):

Part A [Required to be filled up only by dealers permitted to pay under sub-section (1) of section 15]

*Mention mode of payment and challan number

Form RT-IV

Annual Return to be filed by dealers paying tax under section 15(1A) of the Bihar Value Added Tax Act, 2005

[See Rule 19 (3B)]

Name and style of the dealer:

Taxpayer Identification Number:

Period of the annual return :

Part AA

[Required to be filled up only by dealers permitted to pay under sub-section (1A) of section 15]

*Mention mode of payment and challan number

Part B

[Required to be filled up only by dealers permitted to pay under sub-section (4) of section 15]

*Mention mode of payment and challan number

*Mention mode of payment and challan number

DECLARATION

I declare that:

(a) I am not a manufaturer of goods other than bricks

(b) I have not purchased/received any goods from outside the State of Bihar during the period to which this return relates other than such goods as are required by me in the manufacture of bricks.

(c) The information furnished in this return are based upon true and complete accounts.

(d) The particular furnished in and with this return in my capacity as a dealer are correct and complete to the best of my knowledge and belief, and that I am competent to sign and submit this return.