ACKNOWLEDGEMENT

E Return Form CST

Transaction_id 1507250 Transaction_Date Jun 27, 2009
Sr Box No as Particulars detailes of Amount(Rs.)
No per Return
1 Box II Name of Dealer DELUXE PAPER
MART
2 Box I C.S.T. R.C./ TIN No. 27040011372C
3 Box I Type of Return ORIGINAL
4 Box III Periodicity of Return MONTHLY
5 Box III Period Covered by Return From:May 1, 2009
To :May 31, 2009
6 Box 1 Gross turnover of sale 5457031.0
7 Box 6 Total Amount of C.S.T Payable 5212.0
8 Box 7 Amount deffered ( out of Box ( 6) ( under package scheme of
incentives ) if any
9 Box 8 Balance Amount Payable 5212.0
10 Box 9(a) a) Interest Payable
11 Box 9(b) b) Amount ofTax collected in excess of the tax payable if any ( As 0.0
per Box 5)
12 Box 10 Total Amount Payable 5212.0
13 Box 10(a) Excess Credit brought forward from previous return
14 Box 10(b) Excess MVAT refund to be adjusted against the CST liability.
15 Box 10(c) Amount already paid 5212.0
16 Box 10(d) Adjustment of Refund Avaialable as per Refund Adjustment order
Amount ( Details to be entered in Box 12 (d))
17 Box 11(a) Excess Credit carried forward to subsequent return
18 Box 11(b) Excess Credit claimed as refunt 0.0
19 Box 12 Balance Amount payable 0.0
Disclaimer :- This acknowledgement is generated from the information submitted in the return. It should not
be treated as the acceptance of claims made in the return.
Acknowledgement to be Submitted by the Dealer

Place
Date (Signature,Name and Designation of Authorised Person)