FORM 10-B
Return
[See Rule 21-A]
(Original/Revised)
DD MM YYYY
To DD MM YYYY
(Affix seal)
Circle office
Phone number\Cell phone number
E-mail address
Fax no.
Website name (If any)
PAN
Latest details of Bank Accounts.
(Account No./MICR code/Bank name/ Branch)
Address of additional place of Business/branches (Within State)
Reasons for filing revised returns (in case the return being filed is a revised return)
(list of sale or lease in Part - D be given)
(a) value of land assigned to the building or part of a building, sold or leased
Input Tax Rebate
Payment Details :
Refund Adjustment Order (R.A.O.) Details :
Part D : List of sale or lease
Part E : Details of purchases from within the State
Note. -1. Purchases from unregistered dealer can be clubbed rate wise, without mentioning TIN, Part, Entry Number or Invoice details.
2. Purchases of tax free goods can be clubbed into single row without mentioning TIN, Part, Entry Number or Invoice details
3. In case Entry Tax is payable on purchases from unregistered dealer or of tax free goods, then they should be shown in separate rows entry tax rate wise.
4 Purchase of Schedule-II goods from a registered dealer (TIN wise) of the same rate of tax (Vat) and Input Tax Rebate Claim status can be clubbed. (Invoice details, Schedule/ Part/ Entry and Entry Tax status are optional).
Part-F : Details of Purchases/ Receipts from our of State
Note.- 1. Purchases from unregistered dealer can be clubbed rate wise, without mentioning TIN, Part, Entry Number or Invoice details.
4 Purchase of Schedule-II goods from a registered dealer (TIN wise) of the same rate of tax (Vat) and nature of transaction can be clubbed. (Invoice details, Schedule/ Part/ Entry and Entry Tax status are optional).
Declaration
I...........................(name) being...............................of the above business firm do hereby declare that, -
(i) the information and particulars given above in this return are true and correct to the best of my knowledge and belief;
(ii) the input tax rebate claimed is supported by bills/invoice/cash memos issued by the selling registered dealers indicating therein separately the amount of tax collected.
(iii) the information contained as general information in this return Form is latest and I authorise the authority to amend my enrollment/registration details on the basis of this information.
For Office Use Only
Official
(Employee ID : ..............)
software on : / /
ACKNOWLEDGMENT
Return in Form 10-B Receipt Number : .............................
Date : / /
Quarter/month of F.Y. TIN
Name of the Builder and address
Signature of receiving Official
(Employee ID : ..........)