THE GOA VALUE ADDED TAX RULES, 2005 FORMS
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Body

FORM VAT- XV

[See rule 42]

Audit Report under sub-section (1) of section 70 of the Goa Value Added Tax Act, 2005 (Act 9 of 2005)

1(A) *I/We report that the statutory audit of ................................... (mention name and address of the dealer/ /person) holding Tax Identification No.................... under Goa Value Added Tax Act, 2005 (Goa Act 9 of 2005) and registration No ........................under the Central Sales Tax Act, 1956 (Central Act No. 74 of 1956) *was conducted/is being conducted by me/us/M/s ............................. Chartered Accountants/*will be conducted in pursuance of the provisions of section ....................... of ............................... Act ................................and a copy of our/their audit report alongwith all the Annexures and a copy each of the following documents is *annexed hereto/would be furnished upon conclusion of the said Audit:-

(a) the audited profit and loss/income and expenditure account for year ended on ........................;

(b) the audited balance sheet as at ................; and

(c) documents declared by the said Act to be part of, or annexed to, the profit and loss/income and expenditure account and balance sheet.

(B) *I/We report that............................. (mention name and address of the dealer/ /person) holding Tax Identification No.......................... under Goa Value Added Tax Act, 2005 (Goa Act 9 of 2005) and registration No .................. under the Central Sales Tax Act, 1956 (Central Act No. 74 of 1956) is not liable for statutory audit either under the Income Tax Act, 1961(Central Act 43 of 1961) or under the Companies Act, 2013 (Central Act No. 18 of 2013).

2. The statement of particulars as required to be furnished under section 70 of the Goa Value Added Tax Act, 2005 and Goa Value Added Tax Rules, 2005 are given in Annexure 'A' thereto.

We report our observations/comments /discrepancies/inconsistencies., if any , as under :

______________

_______________

Subject to the above in our opinion and to the best of our information and according to the explanations given to us, the particulars given in the said Form VAT XV and annexure thereto are true and correct.

For _________________

Chartered Accountant

Name Proprietor/Partner

Membership No.____________

Address____________________________

_______________________________

Place:

Date:

*Strike off which ever is not applicable.

Annexure 'A' to Form VAT - XV

Statement of particulars required to be furnished. under sub-section (1) of section 70 of the Goa Value Tax Act, 2005 (Act 9 of 2005)

PART - A

1	Name of the dealer/person
2	Address(Principal place of business):
3	Tax Identification No. under VAT Act:
	Registration No. under CST Act
4	Constitution of the dealer:
5	a) Income Tax PAN No:
	b) Central Excise Registration No.:
	c) Service Tax Registration No.:
6	Period under Audit:
7	Address of all branches and manufacturing units within the State:
8	Address of all branches and manufacturing units outside the State:
9	Nature of business resale/manufacture/importer/exporter/works contractor/ lessor/others(please specify):
10	Change in the nature of business (If any during the year):
	(the brief particulars of such change)
11	Changes in the constitution during the year:
	(the brief particulars of such change)
12	a) Books of account maintained:
	(incase books of account are maintained in a computer system, mention the books of accounts generated by such Computer System)
	b) List of books of account examined:
	c) Method of accounting followed and brief particulars of change, if any.
	d) Method of valuation of stock and brief particulars of change, if any.
13	Classes of main goods dealt with by the dealer:
14	Particulars of main operating bank accounts Name of bank Branch Account No.

PART - B

WITHIN STATE SALES

15. Gross turnover of sale as per books of accounts.

Particulars	Sales (Rs.)
a. Gross sales
Add: b. Goods returned debited to accounts
c. Excise collection (if separately not credited to sales account)
d. Sales of capital goods
e. Other sales
f. Other adjustment (if any), specify
TOTAL(a to f)
Less: g. Tax (VAT/CST)
h. Goods returned in the prescribed manner within the prescribe time
i. Labour charges incase of works contract (if included in (a) above)
j. Other adjustments (if any), specify
GROSS TOTAL TURNOVER UNDER THE ACT
Less: k. Turnover of exempted goods within the State
l. Sales on which no tax is leviable (SEZ etc.)
m. Turnover of export/import or in the course of export/import outside the country covered by section 5 (1), 5 (2) and 5(3) of the Central Sales Tax Act, 1956
n. Interstates sales
o. Value of interstate branch transfers/consignment transfers
p. Other deduction (if any, pl. specify)
q. BALANCE TURNVOER

16 A. DETERMINATION OF OUTPUT TAX SALES
RATE OF TAX	TURNOVER	OUTPUT TAX
1%
4%
12.5%
20%
Others


TOTAL

*Note: (Total taxable turnover to match with total turnover of sales as per 15q

16 B. TOTAL TAX COLLECTED IN THE YEAR

a. Under the Goa Value Added Tax Act:

b. Under Central Sales Tax Act:

17. DETERMINATION OF INPUT TAX CREDIT

17 A. ON CAPITAL GOODS
Rate	Purchases	Input tax for the year	B/F from the previous year	Reverse tax (if any)	C/f to next year	Admissible input tax credit for the year




TOTAL*

17 B. ON OTHER GOODS
Rate of tax	Purchases	Input tax	Reverse tax	Balance input tax




TOTAL*

*Note: Total of turnover under column 17A + 17B to match with 17C

17 C. ADMISSIBLE INPUT TAX CREDIT FOR THE YEAR

(i) On capital goods for the year (as per 17A.above)
(ii) On other goods :
a) Brought forward from previous year
b) For the year as per 17B. above
TOTAL
Less: No credit since sales are exempted
Deduction on account of interstate branch transfer/consignment transfer etc (upto 4%)
NET INPUT TAX CREDIT AVAILABLE FOR THE YEAR

18. TAX LIABILITY

Output tax for the year (Total as per 16A above)

Less: Input tax credit for the year (as per 17C above).

Less: 75% under the Net Present Value Compulsory Payment Scheme 2005

EXCESS OF ITC/BALANCE OF TAX PAYABLE

Add: Interest payable under section 55 of the Act for delayed payment of tax.

Total Tax payable

Tax paid on

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

Excess of ITC/Balance of Tax Payable

19. TURNOVER DISCLOSED IN RETURN AND TAX PAID

Sr. No.	Particulars	Return column reference	Q.1	Q.2	Q.3	Q.4	Total
1.	Total sales
2.	Total deduction
3.	Balance taxable turnover
4.	Total output tax
5.	Total input tax credit availed
6.	75% deduction under Net Present Value Compulsory Payment Scheme,2005
7.	Balance Tax Payable
8.	Amount of tax paid during the period

20. Give reconciliation/reason for difference, if any, in taxable sales, tax liability and input tax credit as per books and as disclosed in return.

21. Whether there is delay in payment of tax, if yes, please give particulars as under.

22. Whether there is delay in returns: If yes, please give particulars as under

Period of return	Due date	Date of filing of return	Delay	Reasons, if any as given by the dealer

23. Whether the dealer has deducted tax at source and paid the same to the credit of State Government in accordance with the provisions of Act and Rules.

	Total Tax Deducted: ___________________
	Total Tax Deposited:___________________

(if there is delay in deposit of tax so deducted, please give particulars as under)

Period	Amount of Tax Deducted	Due Date for Payment	Date of Payment	Delay	Amount paid.

24. Give details of sales effected as commission agent, in the following proforma.:

Name of principal & address	TIN No. (if any)	Total Sales During the year	Output tax, if any VAT/CST

25. Whether the sales of any taxable goods is claimed exempt under the Goa Value Added Tax Act/Rules, If yes, give details of such sales.

26. Statement of sales alongwith respective declaration in Form VAT XXX & Form XXXIII.

26 (a) Whether any sales claimed as taxable under Entry (53) of Schedule 'B' (Industrial inputs and packing materials) are supported with declaration in Form VAT XXXIII. If not give detail.

Sales (Wanting Form VAT XXXIII)

Sr.No.	Invoice No.	Date	Name of Party	Amount (Rs.)

26 b) Whether any sales claimed as taxable under Entry (23) of Schedule 'B' (Capital Goods) are supported with declaration in Form VAT XXX, if not, give details.

Sales (Wanting Form VAT XXX)

Sr.No.	Invoice No.	Date	Name of Party	Amount (Rs.)

PART C

EXPORT SALES

27. a) Total export sales (total to match sales in column 15(m) ___________________

b) Whether all declaration for export (Form H) are available on record. If not, give details.

Sr.No.	Invoice No.	Date	Name of Party	Amount Rs.

PART D

INTERSTATE SALES

28. TURNOVER OF INTERSTATE SALES ETC. (As per Books)

Particulars
a. Total Inter-State Taxable Sales
b. Total Inter-State Branch/consignment transfer
c. Total Inter-State Sales exempt U/s 8(5) of the CST Act.
d. Total Inter-State Sales exempt U/s 6(2) of the CST Act.
e. Central Sales Tax payable.

29. Details of taxable sales shown in return.

Particulars	Taxable Sales	Tax Payable	Tax paid
Quarter I
Quarter II
Quarter-III
Quarter IV
Total

30. Give reconciliation of difference, if any in taxable sales as per books and as per return.

31. Whether there is delay in payment of tax. If yes, give particulars as under.

Sr.No.	Date of Sale	Amount payable	Due Date	Date of payment	Delay

32. Whether there is delay in filing of return. If yes, give particulars as under:

Sr.No.	Particulars	Due Date for filing return	Date when filed	Delay

33. Whether inter-state sales claimed as liable to tax U/s 8(1) of CST Act, are supported with declaration in Form C/D. If not give details:

SALES ( Wanting Form C/D)

Sr.No.	Invoice No.	Date	Name of Party	Amount Rs.

34. Whether Inter-State sales claimed as exempt under section 6(2) of CST Act, are supported with necessary declaration if not give details.

SALES (Wanting Form C/D)
Sr.No.	Invoice No.	Date	Name of Party	Amount Rs.



SALES (Wanting Form E-1, E-II)
Sr.No.	Invoice No.	Date	Name of Party	Amount Rs.

35. Whether claims of all inter-state branch transfer/consignment transfers U/s 6A of CST Act are supported with declaration in Form 'F' if not, give details:

Sr.No.	Invoice No.	Date	Name of Party	Amount Rs.

36. Whether inter-state sales claimed as exempt under section 8(5) of the CST Act are supported with declaration in Form C/D, if not give details

SALES (Wanting Form C/D)

Sr.No.	Invoice No.	Date	Name of Party	Amount Rs.

37. INPUT TAX ADJUSTMENTS INFORMATION ( In case Input Tax Credit is more than Output Tax)

Balance of Credit as per 18 above,

Less : Adjustments

1. Against any dues under the Goa Value Added Tax Act,2005

Period

Amount

2. Against any dues under Central Sales Tax Act,1956

Period

Amount

3. Against any dues under the Goa Sales Tax Act, 1964

Period

Amount

4. Against any dues under the Goa Tax on Entry of Goods Act, 2000.

Period

Amount

5. Cash refund claimed/granted on account of export sales

Period

Amount

Balance Input Tax Credit on other goods carried forward to next year

38. INFORMATION ABOUT SALES-TAX INCENTIVES EXEMPTION /NPV DEFERMENT (if applicable)

i. Name of the agency (Directorate of Industries/SIA ) which issued the registration certificate/Acknowledgment to the industry.
ii. Registration Certificate /Acknowledgment No. and date of issue.
iii. Period of Entitlement of Sales Tax incentives as per Goa VAT Act, 2005 read with Notification No._____ ____dated ______ and No. ______________ dated ______.	From_____ (DD/MM/YYYY) To ______ (DD/MM/YYYY)
iv) Whether the benefit is being claimed as SSI/MSI/LSI

I certify that above particulars are true and correct to best of my knowledge and belief.	I certify that above particulars are verified by me from books of account and same are true and Correct.
For ___________________________	For__________________________

(Name of the dealer/person )	CHARTERED ACCOUNTANT

	(Name)
(Signature)________________	(Proprietor/Partner)

	Membership No._________________
Name__________________________	Address _______________________

Designation ____________________	______________________________

Place:	Place:

Date:	Date:

Period for which due

Date of payment

Interest payable