THE HIMACHAL PRADESH VALUE ADDED TAX RULES, 2005. FORMS
-

Form VAT-XV-B

[See rule 40 (6)]

Form of annual commodity wise tax return to be furnished by a registered dealer other than a dealer paying lumpsum by way of composition under section 16(2)

Original/Duplicate copy of return for the quarter/year ended on:

1. Dealer's identity

Name and style of business

M/s

Address

Contact No.

TIN

Economic Activity Code

2. Sale of goods sold for the first time in the State at full rate of tax

Serial No.	Description of Commodity	Code as per Schedule-II	Taxable Turnover	Breakup of taxable turnover according to rates of tax
Serial No.	Description of Commodity	Code as per Schedule-II	Taxable Turnover	@ %	@ %	@ %	@ %





		Total

Declaration

I, ____________ (name in CAPITALS), hereby, solemnly affirm that I am authorised to furnish this return and that all its contents are true and correct and nothing has been concealed therefrom.

Place :
Date :	[Signature]

Status : (Tick) application [Karta, proprietor, partner, director, president, secretary, manager, authorised officer]

_______________________________________________________________________________________________

(For use in the office of the assessing authority)

(1) Date of data entry in the office record/Computer.

(2) Signature of the official making the data entry:

(Affix stamp of name & designation)

(3) Signature of the assessing authority with date:

(Affix stamp of name & designation)

_______________________________________________________________________________________________

ACKNOWLEDGEMENT

Received from M/s____________________________ TIN ________________a return in Form VAT-XV-B for the quarter/ year ending ______________.

Assessing Authority/

Excise and Taxation Inspector,

(when posted in circle outside District Headquarters)

Circle_________District_______.

(SEAL)