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MADHYA PRADESH VALUE ADDED TAX RULES, 2006 - FORMS
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FORM 10-A

(See rule 23A )

Return verification Form

Quarter l Year   of   TIN 2 3
    F.Y.      

Return for the period DD   MM   YYYY To DD   MM   YYYY    

Name and address of the Dealer

(Affix seal)

E-filing Date DD   MM   YYYY  

Acknowledgment Number

1. Gross turnover (GTO)

2. Deductions

3. Taxable turnover (1-2)

4. Vat

5. Purchase tax

5A. Amount payable u/s 9-C

5B. Amount payable u/s 26-A (5)

6. Reversal of Input Tax Rebate

7. .Interest for fate payment (if any)

8. Amount of tax deferred / exempted

9. Total amount payable (4+5+5A+5B+6+7-8)

10. Input Tax Rebate

11. Input Tax Rebate and other credits carried forward from previous quarter

12. Other credits (TDS, RAO etc.) .

13. Amount paid by challans

14. Unadjusted rebate and other credits carried over to next Quarter (TDS, RAO &

Challan amount) .

Declaration

I ....................................(Name) being .................................... of the above business firm do hereby declare that the information and particulars given in the return which has been transmitted electronically by me vide acknowledgment number mentioned above are true and correct to the best of my knowledge and belief.

Place ................... Signature of the dealer
Date ...................  

Note: This Form shall be signed by any person as prescribed in sub-rule (1) of rule 11 of the Madhya Pradesh Vat Rules. 2006.

For Office Use only

Return Verification Form for the Quarter/ year / month of F.Y. .....................

Submitted on / ../ Signature of Receiving Official
Date ................... (Employee id: ................ )
Entered into application  
software on: / ../ Signature of Data Entry official
  (Employee id: )

ACKNOWLEDGMENT

Return Verification Form Receipt Number: .................. Date .../../..

Quarter l Year   of   TIN 2 3
    F.Y.      

Name of the Dealer and address Signature of the receiving official
Affix Seal  
Circle office (Employee id: ................ )