The Gujarat Value Added Tax Rules, 2006
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FORM 216

(See sub-rule (8) of rule 28)

Statement for composition by way of lump sum in lieu of tax payable on the turnover of sales of goods involved in the execution of works contract.

Registration Certificate No. ........................... Permission No........................

Period from ..................... to ........................

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

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

The details of the turnover of sales of goods involved in the execution of works contracts are given as under:-

Sr. No.	Date	Invoice No.	Name of the contractee	Amount Rs.
1
2
3
....

* A separate sheet is to be attached for more details.

1. Amount received/receivable during the period for the works contract undertaken : . ..................
2. Amount calculated at the rate of .... *percent. on above:	..................
3. Interest payable, if any:	..................
4. Total amount payable:	..................
5. Deduction at source under section 59B:	..................
6. Amount paid:	..................
7. Chalan No. : ................	Dated..................

I solemnly declare that the above statements are true to and belief.

Place:	Signature
Date:	(Proprietor or partner or Director /Manager of ............................)

* Mention the rate applicable.