The Chhattisgarh Value Added Tax Rules, 2006. - FORMS
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Body

FORM- 18-A

Dealer who is not a manufacturer or importer and does not effect interstate/sale in the course of export out of the territory of India

[See Rule 20(2)(b)]

TIN

Period of Annual Statement

From	DD	MM	YY	To	DD	MM	YY
From				To

(For official use only)

Date of receipt .. DD..MM..YY

Signature.....................................................

Name............................................................

Designation...................................................

Name of the dealer..................................................................................................................................

Address ......................................................................................................................................

Phone/Fax No. ......................................................................................................................................

Name and Address of Branch offices within Chhattisgarh State, if any -

1............................................................................................................................................................

2..............................................................................................................................................................

PART - A

Gross Turnover

*Gross Turnover on the basis of Maximum Retail Price if option has been taken for payment of tax on Maximum Retail Price of medicine.

Less - (i) Sale value of goods return within six month of sales I_

(ii) Cash discount allowed

Net Turnover

Deductions:-

(i) - Tax free sales u/s 15 and 15(B) -

(ii) - Tax paid Sales- u/s 2(x) -

(iii) -Other deduction (give details)

(a) .-.

(b)

(iv) - Tax amount included in gross turnover

Total Deductions :

Taxable Turnover -

S.No.	Taxable Turnover	Rate of Tax	Tax Amount
1		1%
2		2%
3		5%
4		14%
5		25%
		Total :

Tax Payable u/s. 13(5)

Purchase Tax u/s. 9

Taxable Amount

Purchase Tax Payable

Total Tax Payable (4+5+6)

Amount of interest, if any

Total (7+8)

Computation of input tax rebate-

On the basis of input tax paid on goods purchased within year (On tax amount shown separately in purchase bills)

(i) @ 1%
(ii) @ 2%
(iii) @ 5% -
(iv) @ 14% -
Total :

Deduct- Amount of input tax rebate adjusted (As per serial no. 12)

Adjustment of input tax rebate :-

(i) Adjusted against the tax and interest payable under the Act.

(ii) Input tax rebate claimed as cash refund

Total (i+ii):

Amount of input tax rebate carried over to next year (10-11)

Tax deducted at source u/s 27

Total [12(i)+I4+15+16]

Payment details:-

S.No.	Challan No.	Date	Amount	Name of Bank	Branch


		Total :

Balance payable amount (if any)

Refund amount (if any)

Amount adjusted in next year from the amount of refund

PART- B

Statement of rate wise stock of goods

S. No.	Page of the ledger	Name of the goods trading A/c.	Rate of tax	Opening balance	Purchase	Closing balance	Sale
(1)	(2)	(3)	(4)	(5)	(6)	(7)	(8)

PART- C

List of purchases from such dealers within the state from whom purchases of more than Rs. 1 lac in a year have been made

S. No	Name of dealer with Address from whom goods purchased	R. C. No./TIN No.	Description of goods purchased	Amount of Total purchases	Remarks
(1)	(2)	(3)	(4)	(5)	(6)

			Total

List of sales to such dealers within the state to whom sales of more than Rs. 1 lac in a year have been made

S. No	Name of dealer with Address to whom goods have been sold	R. C. No./ TIN No.	Description of goods sold	Amount of Total sales	Remarks
(1)	(2)	(3)	(4)	(5)	(6)

			Total

The particulars given above are true to the best of my knowledge & belief.

Place............................	Signature ...........................................
Date............................	Designation .....................................
	Seal of dealer, if any .........................."

Acknowledgment

Received annual statement for the period ................................to ...,............................ in form-18-A from M/s..............................................................................................................

TIN

along with the following challans /documents:-

S.No.	Particular of Challans/ documents	Total No. of Challans/documents	Total Amount of Challans/ documents
(1)	Challan
(2)	TDS
(3)

Receipt number.................

Date.................................

Office Seal

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

Signature, Name and designation

of employee receiving return