MADHYA PRADESH VALUE ADDED TAX RULES, 2006 - FORMS
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Body

Form-10 -D

Return

(See the rule 21-B)

(Original/ Revised)

Quarter/month

Return For the period

of F.Y. No.

General Information :
Name and address of the transporter (Affix seal)
Circle office
Phone number
Cell phone number
E-mail address
Fax no.
Website name (If any)
PAN
Latest details of Sank 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)
PART A
1. Gross receipts of freight
2. Less deductions in respect of freight relating to a person other than a dealer or a builder
3. Taxable receipts of freight (1-2)
4. Tax payable u/s 9-C
PART B: Amount of Tax Payable
1. Total Tax (A)
2. interest for Late Payment (if any)
3. Total Amount Payable (1+2)
4. Credit of R.A.O.
5. Amount deducted at source
6. Amount paid by chailans
7. Total of credits (4+5+6)
8. Credit for this quarter
9. Credit carried over to next quarter

PAYMENT DETAILS:-

Name of bank	Branch	Challan Number	Challan Date	Period	Amount

				Total

Tax Deduction at Source (TDS) Details:

Name of dealer/Builder	TIN	TDS Certificate No./ Date	Amount of TDS

		Total

Refund Adjustment Order (R.A.O.) Details:

R.A.O. No.	RAO. Date	Amount of R.A.O	Challan no. & date (if any)

Declaration

I.................................................. (Name) being .............................................. of the above business form 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 information contained as genera! information in this return form is latest and authorize the authority to amend my enrolment /registration details on the basis of this Information.

Place
Date:	Signature of the transporter or the person authorised

For Office use Only

Return for the quarter /month of F.Y. Submitted on: / /

Delay (if any) (in days):

Signature of Receiving

Official

(Employee id: ...................)

Return entered into application

software on: / /

Signature of Data Entry

Official

(Employee id: ...........)

Acknowledgement


Return in form 10-D Receipt number ............................		Date : / /
Quarter/month	of F.Y	TIN



Name of the Transporter and Address		Signature of receiving official
(Affix seal)
Circle Office		(Employee id: ............)