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

Body

"ACKNOWLEDGEMENT"

(of annual return in form-IV (C) (Amended) Composition Money)

DEPARTMENT OF COMMERCIAL, TAX UTTARAKHAND

01- Serial No. of Acknowledgement

02- Date of Acknowledgement

03- Office code of Sector/Range

04- Period of Return

From

05- TIN of the Dealer

06- Name and address of the Dealer

07- Assessment Year

08- GTO

(06)

09- NTO

(08)

10- TOTAL AMOUNT DEPOSITED (with annual returns)

(13)

11- LATE FEE DEPOSITED (with annual returns)

(11)

12- Total no. of papers (including returns, annexure, challns excluding "Acknowledgement') submitted

(17)

Signature

(Authorised Signatory)

Seal, Signature and

Name of Receiving Official

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FORM IV (C) (Amended)

ANNUAL RETURN OF TUROVER OF SALES AND COMPOSITION MONEY U/s 7 (1) OF UK VAT ACT, 2005.

Sector/ Range..................

Assessment Year..............

PERIOD

FROM
TO

TIN

01- TIN of the Dealer
02- Office code of Sector/Range
03- Period of Return
04- Assessment Year
05- Name and address of the Dealer
06- GTO
07- T. O. to be deducted
08- NET T. O. (06+07)
09- Composition Money (1% of 08)

Payment of differential amount, interest, late fees (if any)-

	A/C Head	Challan Id Number (CIN) & Date	Bank's Name Address	Bank's MICR Code	Amount Deposited (Rs.)
i	0040001020100 (VAT)
10	Composition Money Deposited		TOTAL (i+ii....)
i	0040008000100 (L. fee)
11	Late Fee Deposited		TOTAL (i+ii....)

i	004008000100 (Int.)
12	INTEREST		TOTAL (i+ii....)

13- TOTAL AMOUNT DEPOSITED

TOTAL (i+ii....)

(In words)

14	Details of due Peridical Composition money, interest & Late fee.	Annexure- 001
15	Details of Opening & Closing stocks	Annexure- 002
16	Proof of differential amount, interest, late fees (if any) (Annexure no. to be self allotted in increasing no. )	Annexure- Annexure-
17	Total no. of papers (Including returns, annexure challans excluding "Acknowledgement" submitted

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 in Business.........

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ANNEXURE- 001

Of Form IV (C) (Amended)

01- TIN of the Dealer

2- Name and address of the Dealer-

3- Period

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

4- Details of due Periodical Composition money, interest and late fee-

Sl. No.	Return Period	Due Date of Submission of Return	Actual Date of submission of Return	Delay in "Weeks"	Late fees Due	Amount of Due Composition money for the Period	Due Date of Deposit	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 Authorised Signatory

Status

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ANNEXURE- 002

of Form IV (C) (Amended)

01- TIN of the Dealer

2- Name and address of the Dealer-

3- Period

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

4- Value of Opening and Closing Stock-

Sl. No.	Name of Commodity	Schedule of Rate (I, II, II(A), II(B), II(C), III, IV) or unclassified	Serial No. In Schedule	General Rate of tax	Opening stock	Closing stock	Remark
1.
2.
			Total (1+2+....)

Signature of Authorised Signatory

Status

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