MADHYA PRADESH VALUE ADDED TAX RULES, 2006 - FORMS
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Body

FORM 10-C

[See Rule 21-A]

Return verification Form

Quarter of F.Y.		TIN..................
Return for the period DD MM YYYY To DD MM YYYY
Name and address of the Builder
(Affix seal)
E-filing	Date		DD MM YYYY
Acknowledgement Number

1.	Gross receipt of the capital value of a building or part of a building	..........
2.	deduct-	..........
	(a) value of land assigned to the building or part of a building, sold or leased
	(b) purchase value of goods, on which tax has been paid at the time of purchase, but no input tax rebate is admissible
	Total
3.	Taxable capital value (1-2)	..........
4.	Tax payable u/s 9-B	..........
4A.	Amount payable u/s 9-C
5.	Interest for late Payment (if any)	..........
6.	Total amount payable (4+4A+5)	..........
7.	Credit of R.A.O.	..........
8.	Rebate carried over from Previous Quarter (if any)	..........
9.	Amount paid by challans	..........
10.	Input Tax Rebate	..........
11.	Total of credits (7+8+9+10)	..........
12.	Credit for this quarter	..........
13.	Credit carried over to next quarter	..........

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 acknowledgement number mentioned above are true and correct to the best of my knowledge and belief.

Place......................	...........................
Date.......................	Signature of the builder

For Office Use Only

Return verification form for the quarter / month of F.Y.
Submitted on : / /
	...................... Signature of Receiving Official (Employee ID : ............)
Entered into application software on : / /	....................... Signature of Data Entry Official (Employee ID : ............)

ACKNOWLEDGMENT

Return in Verification Form 10-C Receipt Number : .....................Date : / /

Quarter/month of F.Y. TIN

Name of the Dealer and address

(Affix seal)

Circle office

Signature of receiving Official

(Employee ID : ..........)