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FORM I

[see Rule 7(1) (a), 7(2) & 7(3)]


VALUE ADDED TAX MONTHLY RETURN
Name of the dealer:
To
The Assessing Authority,.............................Circle,
INPUT TAX CREDIT

4
MONTHLY RETURN
ABC COMPANY

TIN 4 3
TAX PAYABLE
Input Tax Credit carry- forward (Rs.) (A)
(No Input tax credit of capital goods to be included here)
INPUT ITEMS
(First schedule goods) Purchase value during the month(Rs.)
(a)Goods taxable at 1% Nil
(b)Goods taxable at 2% Nil
(c)Goods taxable at 4% Nil
(d)Goods taxable at 12.5% Nil
(e)Purchase under Sec. 12 Nil
Total= (a)+(b)+(c)+(d)+(e) Nil
Less: Reverse Credit* Nil
TOTAL (NET) (B) Nil (B1)
Goods exempted (C) Nil (C1)

CAPITAL GOODS
(a)Upto previous month Nil
(b)During the month Nil
Total Nil
Less: Reverse Credit* Nil
TOTAL (NET) (D) Nil (D1)

Total Input Tax Credit(E)= (A + B1 + D1)


*vide Sec 19
9 5 5

Nil 1 Purchase turnover under Sec.12 (Rs.)

OUTPUT ITEMS
Input Tax credit (VAT paid)(Rs.) (Input Tax Credit allowable)
Nil (a)Local sales at 1%
Nil (b)Local sales at 2%
Nil (c)Local sales at 4%
Nil (d)Local sales at 12.5%
Nil Total= (a)+(b)+(c)
Nil 2 Less: Sales return/Unfructified sales
Nil Total(F)
Nil Zero rate sales (G)
1.Adjustment of advance tax
2.Entry tax paid,if any
Less: Total(1+2)
Net tax payable

OUTPUT ITEMS
(Input Tax Credit not allowable)
Eligible InputTax Credit (Rs.) Exempted sales
Nil Less: Sales return/Unfructified sales
Nil Total (J)
Nil 3
Nil Sales under Sec 10 (S)
Nil
1.Adjustment of advance tax
2.Entry tax paid,TDS, refund,if any
Nil Less: Total(1+2)
TOTAL TURNOVER (F) + (J) + (S)
9

Nil Tax due Rs.(A1) Nil

Sales turnover/ value inside the State(Rs.) VAT due(Rs.)


Nil Nil
Nil Nil
Nil Nil
Nil Nil
Nil Nil
Nil Nil
Nil (F1) Nil
Nil

(H1) Nil
(T1) = (F1)-(H1) Nil
(T2) = (A1)+(T1) Nil

Nil
Nil
Nil

Nil (S1) Nil

(T3) Nil
Nil Net tax payable (T4) = (T2+S1)-(T3) Nil
Month 04 Year 2016
A. Payment details:
Amount Payable,if (T4) is excess of (E) (T4 - E)
Amount Paid

Sl.No. Amount(Rs.)

Total
B. Amount of Input Tax Credit excess available, if (E) is excess of (T4) (E - T4)

LESS:
1. If refund is claimed for input tax related to Zero rate sales, the amount Nil
2. If tax payable under the CST Act for this month has to be adjusted, the amount Nil

Total (1+2)
Input Tax Credit,if any, carried forward to next month: (Rs.)
DECLARATION

1 I / We
APRIL2016
declare that
to the best of
my/our
knowledge
and belief the
information
furnished in
the above
statement is
true, correct
and complete.

2 I / We
APRIL2016
declare that I
am/We are
authorised
by .................
....................
Proprietor/Par
tner/Board of
directors to
sign the
returns

Place:
:
Date:
(Rs.) Nil
(Rs.) Nil

Crossed cheque/Crossed DD/ Crossed Banker's cheque No. Date Bank


Bank code
(in words)NOT AN AMOUNT

(Rs.) Nil

Nil
Nil

Signature:
Name: Apr-16
Seal Status & relationship to the dealer:
Balasubramaniam
Particulars 1-Apr-2016 to 30-Apr-
2016
Assessable Tax
Value Amount
Sales
A. Output Tax
Output VAT @ 1% 167250.00 1342.50
Total Out 167250.00 1342.50
Purchases
B. Input Tax
Excess Input Credit Brought Forward
Input VAT @ 1% 670500.00 6705.00
Total Inpu 670500.00 6705.00
VAT Refundable/Carried Forward 5362.50