THE UTTARAKHAND (THE UTTARANCHAL VALUE ADDED TAX RULES, 2005) FORMS
-

Body

"ACKNOWLEDGEMENT"

of annual return in form-IV (B) (Amended) for work contractors

DEPARTMENT OF COMMERCIAL, TAX UTTARAKHAND

01- Serial No. of Acknowledgement

02- Date of Acknowledgement

03- TIN of the work contractor

=(01)

04- Office code of Sector/Range

=(02)

05- Period of Return

=(03)

06- Assessment Year

=(04)

07- Name and address of the contractor

=(05)

08-Total of Gross Amount of Payment as per Bills

=(06)

09- Total T.D.S.

=(07)

10- Total Amount Deposited

=(25)

11-LATE- FEE DEPOSITED

=(23)

Note:

1. Information sl. no. 01 and 02 shall be generated electronically if return filed online. Otherwise

2. to be submitted in two copies duly filed. One copy to be returned with a sl. no. date stamp and sign of receiving official.

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FORM IV (B) (Amended)

(Annual Return for work contractors who have opted composition money U/S- 7 (2) )

01- TIN of the work contractor
02- Office code of Sector/Range
03- Period of Return
04- Assessment Year
05- Name and address of the contractor

Details of Contracts and Payment Received and TDS:-

Sl. No.	Name of Contractee	Agreement no. and Date	Total amount of the contract	Gross amount of payment as per bills	TDS	Comp. money/ tax due from the works contractor	Net comp. money/ tax Refund/ C/ F
(a)	(b)	(c)	(d)	(e)	(f)	(g)
i
ii

06- Total of gross amount of payment as per bills

(i+ii+iii+...) (C)

07- Total

TDS

(i+ii+....) (f)

08- Total Tax due from Contractor

(i+ii+....) (g)

09- Net Tax due from Contractor

(08-07)

10- Refund claim

(07-08)

11- Amount carrry forward

(07-08)

Details of utilization of Forms, Stamps received form the office in the prescribed Annexure

Details of declaration forms/ certificates/ documents	Op. balance	Recd. during the Assessment year	Consumed during the Assessment year	Returned during the Assessment year	Lost during the Assessment year	Cl. balance	List to be submitted in the following prescribed Annexure
12-Form-16 (STAFF)							Annexure- 001
13- Form- C (CENTRAL)							Annexure- 002
14- Other							Annexure- 003

Note: Proof of Returned or lost forms to be submitted as annexure.

15- Computation of own Assessment of liability of composition money tax	Annexure-004
16- Details of due peridical tax/ Composition money, interest, late fees	Annexure- 005
17- Proof of deposit of tax/ Composition money, interest, late fees. TDS deducted (Annexure no, to be self allotted in increasing number)	Annexure- Annexure- Annexure-
18- Copy of each work contract submitted (copy of each work contract to be allotted separate annexure number)	Annexure- Annexure- Annexure-
19- Copy of each bill of quantity submitted (Copy of each bill of quantity to be allotted separate annexure number)	Annexure- Annexure- Annexure-
20- List of Annexure submitted	Annexure- 006
21- Total no. of papers (including return, annexure, challan & other documents excluding "Acknowledgement)

Payment of differential Tax/ Composition money, interest, late fees and other dues (with annual return)

Amount

	A/c Head	Challan Id Number (CIN) and Date	Bank's Name Address	Bank's MICR Code	Amount deposited (Rs.)
i	0040001020100 (VAT)
22-	Tax/ Composition money deposited Total (i+ii+...)

i	0040008000100 (L. Fee)
23-	Late Fee Deposited		Total (i+ii+...)

i	0040008000100 (Int.)
24-	INTEREST & OTHER DUES DEPOSITED		TOTAL(i+ii+...)

25- TOTAL AMOUNT DEPOSITED

(48+49+50+51)

(In words)

Declaration

I...............................................S/o........................................am authorized to sign this return and I do hereby declare and verify that, the information and particulars given in this return are true and complete and nothing has been wilfully omitted or wrongly stated.

	Sign. of Auth. Signatory ..............
	Names of Auth. Signatory ..............
	Father's Name ..............
Date..............	Status of Auth. Signatory ..............

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ANNEXURE- 001

of Form IV (B) (Amended)

1- TIN of the Dealer

2- Name and Address of the Dealer-

3- Period

......................

4- LIST OF Form- 16 used for Interstate Purchase/ Consignment- in-

Sl. No.	Series and Sl. No. of Form-16	Name and Address of the Seller/Sender	TIN of Seller	Invoice No.	Invoice Date	Amount of Invoice	Amount of goods which are consumable in work	Amount of goods which are not consumable in work	Description of goods


1.				Total



2.				Total

Grand Total of all the Form at No. 1+2+3....

Signature of Authorized Signatory

Status-

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ANNEXURE- 002

of Form IV (B) (Amended)

1- TIN of the Dealer

2- Name and Address of the Dealer-

3- Period

......................

4- LIST OF Form- C Issued for Inter-State Purchase-

Sl. No.	Series and Sl. No. of Form-C	Name and Address of the Seller	TIN of the Seller	Name of quarter (I, II, III or IV) to which form is related	Assessment year to which form is related	Invoice No.	Invoice Date	Invoice Amount	Description of goods


1.	Total of Forms- C at Sl. No. 1



2.	Total of Forms- 16 at Sl. No. 1

Grand Total of all the Form at No. 1+2+3....

Signature of Authorized Signatory

Status-

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ANNEXURE- 004

of Form IV (B) (Amended)

1- TIN of the Dealer

2- Name and Address of the Dealer-

3- Period

......................

4- Details-

01- Gross amount of payment as per bills-	Rs.
02- Net payment received-	Rs.

03- Stock Position (in value) of goods imported from outside State-

DESCRIPTION	OPENING STOCK	PURCHASE FROM OUTSIDE STATE	CONSUMPTION	CLOSING STOCK
Value of goods (which are Consumable in work) imported from outside State
Value of goods (which are not Consumable in work) imported from outside State

Computation of own final Assessment of amount of tax/ composition money due on the basis of Gross Amount of payment-

04- Gross Amount	Rs.
05- Amount deductable for supply of material by contractee.	Rs.
06- Amount deductable for earth work (as per G. O. No. - 39/ 2009/ XXXVII (8)/14 (120)/ 2006/ Dated- 25, Feb 2009)	Rs.
07- Net Amount (04-05-06)	Rs.
08- Detailed Computation of amount of composition money/ tax	Rs.
09- Gross Amount of composition money/ tax due as per computation at sl. no -08-	Rs.
10- TDS-	Rs.
11- Net Amount payable (08-04)-	Rs.
12- Amount already paid-	Rs.
13- Differential amount payable	Rs.
14- Amount refundable	Rs.

Signature of Authorized Signatory

Status-

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ANNEXURE- 005

of Form IV (B) (Amended)

1- TIN of the Dealer

2- Name and Address of the Dealer-

3- Period

......................

4- Details of Due Periodical Return, Tax/ Co.position money, Interest and Late fees-

Sl. No.	Return Period	Due Date of submission of Return	Actual Date of submission Return	Delay in "weeks"	Late fees Due	Amount of Due Tax/ Composition money for the Period	Due Date of Deposi	Actual Date of Deposit	Delay in "Months"	Interest Due
1	Quarter I
2	Quarter II
3	Quarter III
4	Quarter IV
5	Annual Return
6		Total

Signature of Authorized Signatory

Status-

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ANNEXURE- 006

of Form IV (B) (Amended)

1- TIN of the Dealer

2- Name and Address of the Dealer-

3- Period

......................

4- LIST of Annexure Submitted-

Sl. No.	Description Annexure	Sl No. of Annexure
i
ii
iii

Note: Only those Annexure are to be submitted which are applicable.

Signature of Authorized Signatory

Status-

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