Year

Month

1.GSTIN:
2.(a)Legal name of the registered person:
(b)Trade name, if any
3.(a)Aggregate Turnover in the preceeding Financial Year:
(b)Aggregate Turnover - April to June, 2017:

GSTIN/UIN No. Party Name No. Date Value

Totals
Rate CESS Rate Taxable Value Integrated Tax Central Tax
State/UT Tax CESS Place of Supply
Summary Of Supplies From Registered Suppliers B2B(3)

No. of Suppliers No. of Invoices Total Invoice Value

GSTIN of Supplier Invoice Number Invoice date Invoice Value Place Of Supply
 Total Taxable Total Integrated
Value Tax Paid

Integrated Tax
Reverse Charge Invoice Type Rate Taxable Value Paid
Total Central Tax Total State/UT Tax Total Availed ITC
Paid Paid Total Cess Integrated Tax

Availed ITC
Central Tax Paid State/UT Tax Paid Cess Paid Eligibility For ITC Integrated Tax
Total Availed ITC Total Availed ITC Total Availed ITC
Central Tax State/UT Tax Cess

Availed ITC Availed ITC

Central Tax State/UT Tax Availed ITC Cess
Summary Of Supplies From Unregistered Suppliers B2BUR(4B)

No. of Invoices (Of

Reg Recipient) Total Invoice Value

Supplier Name Invoice Number Invoice date Invoice Value Place Of Supply
 Total Taxable Total Integrated Total Central Tax
Value Tax Paid Paid

Integrated Tax
Supply Type Rate Taxable Value Paid Central Tax Paid
Total State/UT Tax Total Availed ITC Total Availed ITC
Paid Total Cess Integrated Tax Central Tax

Availed ITC Availed ITC

State/UT Tax Paid Cess Paid Eligibility For ITC Integrated Tax Central Tax
Total Availed ITC Total Availed ITC
State/UT Tax Cess

Availed ITC
State/UT Tax Availed ITC Cess
Summary For IMPS (4C)

No. of Invoices (Of

Reg Recipient) Total Invoice Value

Invoice Number of
Reg Recipient Invoice date Invoice Value Place Of Supply Rate
Total Taxable Total Integrated Total Availed ITC
Value Tax Paid Total Cess Paid Integrated Tax

Integrated Tax Availed ITC

Taxable Value Paid Cess Paid Eligibility For ITC Integrated Tax
Total Availed ITC
Cess

Availed ITC Cess

Summary For IMPG(5)
Total Bill of Entry
No. of Bill of Entry Value

Bill Of Entry
Port Code Number Bill Of Entry Date Bill Of Entry Value Document type
 Total Taxable Total Integrated
Value Tax Paid Total Cess Paid

GSTIN Of SEZ Integrated Tax

Supplier Rate Taxable Value Paid Cess Paid
 Total Availed ITC Total Availed ITC
Integrated Tax Cess

Availed ITC
Eligibility For ITC Integrated Tax Availed ITC Cess
Summary For CDNR(6C)

No. of
No. of Supplier Notes/Vouchers No. of Invoices

Invoice/Advance Invoice/Advance
Note/Refund Note/Refund Payment Voucher Payment Voucher
GSTIN of Supplier Voucher Number Voucher date Number date
 Total
Note/Voucher
Value

Reason For Note/Refund

Pre GST Document Type Issuing document Supply Type Voucher Value
 Total Taxable Total Integrated Total Central Tax Total State/UT Tax
Value Tax Paid Paid Paid

Integrated Tax
Rate Taxable Value Paid Central Tax Paid State/UT Tax Paid
 Total Availed ITC Total Availed ITC Total Availed ITC
Total Cess Integrated Tax Central Tax State/UT Tax

Availed ITC Availed ITC Availed ITC

Cess Paid Eligibility For ITC Integrated Tax Central Tax State/UT Tax
Total Availed ITC
Cess

Availed ITC Cess

Summary For CDNRUR(6C)

No. of
Notes/Vouchers No. of Invoices

Invoice/Advance Invoice/Advance
Note/Voucher Payment Voucher Payment Voucher
Number Note/Voucher date Number date Pre GST
 Total Note/Refund
Voucher Value

Reason For Note/Voucher

Document Type Issuing document Supply Type Value Rate
Total Taxable Total Integrated Total Central Tax Total State/UT Tax
Value Tax Paid Paid Paid Total Cess

Integrated Tax
Taxable Value Paid Central Tax Paid State/UT Tax Paid Cess Paid
 Total Availed ITC Total Availed ITC Total Availed ITC Total Availed ITC
Integrated Tax Central Tax State/UT Tax Cess

Availed ITC Availed ITC Availed ITC

Eligibility For ITC Integrated Tax Central Tax State/UT Tax Availed ITC Cess
Summary For Tax Liability on Advance Paid under reverse charge(10 A)
Total Advance Total Cess
Paid Amount

Gross Advance
Place Of Supply Rate Paid Cess Amount
Summary For Adjustment of advance tax paid earlier for reverse charge supplies (10 B)
Total Advance
Adjusted Total Cess

Gross Advance
Paid to be
Place Of Supply Rate Adjusted Cess Adjusted
Summary For Composition, Nil rated, exempted and non GST inward supplies (7)
Total Composition t Total Nil Rated SuppTotal Non-GST Supplies

Exempted (other
Composition than nil rated/non
Description taxable person Nil Rated Supplies GST supply) Non-GST supplies
Inter-State supplies
Intra-State supplies
Summary Input Tax credit Reversal/Reclaim (11)
Total ITC
Integrated Tax Total Central Tax Total ITC State/UT
Amount Amount Tax Amount
0 0 0
To be added or
Description for reduced from ITC Integrated Tax ITC Central Tax ITC State/UT Tax
reversal of ITC output liability Amount Amount Amount
(a) Amount in terms of rule 37 (2)
(b) Amount in terms of rule 42 (1) (m)
(c) Amount in terms of rule 43(1) (h)
(d) Amount in terms of rule 42 (2)(a)
(e) Amount in terms of rule 42(2)(b)
(f) On account of amount paid subsequent to reversal of ITC
(g) Any other liability (Specify)
Total ITC Cess
Amount
0

ITC Cess Amount

Summary For HSN(13)
No. of HSN Total Value

HSN Description UQC Total Quantity Total Value

Total Taxable Value Total Integrated TaxTotal Central Tax Total State/UT Tax Total CESS

Integrated Tax Central Tax State/UT Tax

Taxable Value Amount Amount Amount CESS Amount