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Reg. No. GR/RNP/GOA/32 RNI No. GOAENG/2002/6410 Panaji, 7th August, 2006 (Sravana 16, 1928) SERIES I No. 18 EXTRAORDINARY GOVERNMENT OF GOA Department of Finance Revenue and Control Division Notification 4/5/2005-Fin (R&C) (31) In exercise of the powers conferred by section 83 of the Goa Value Added Tax Act, 2005 (Goa Act 9 of 2005), and all other powers enabling it in this behalf, the Government of Goa hereby makes the following rules so as to further amend the Goa Value Added Tax Rules, 2005, as follows, namely: 1.Short title and commencement.- (1) These rules may be called the Goa Value Added Tax (Third Amendment) Rules, 2006; (2) They shall come into force from the date of their publication in the Official Gazette; 3.Substitution of Forms VAT III and VAT XV.- For forms VAT III and VAT XV appended to Goa Value Added Tax Rules, 2005 (hereinafter called the principal Rules). Form VAT - III [See rule 23(1) of the Goa Value Added Tax Rules, 2005] Return of Sales and of tax payable for the period from 318 SERIES I No. 18 OFFICIAL GAZETTE - GOVT. OF GO A. Total turnover of sale received/receivable in respect of goods sold including value of goods transferred out of State otherwise Exempted Taxable (@ 1%) (i) Imports from out of India. ................... to (ii) Interstate purchases ................... (iii) Consignment transfers .................. (1) TIN:- D D M M y y y y (iv) Local purchases from registered dealers (a) Against tax invoices .................. (b) Against restricted tax (2) Name of the dealer invoice .................. (v) Local purchases from compo sition dealers and unregistered (3) Address of the dealer dealers ................... (vi) Others ................... /date of registration (4)(ii) Turnover, taxable on turnover sales and computation of output tax. Anount ITC admissible capitalofgoods B. Deductions (from the above sale) (iii) ITC carried over from previous tax period (1) Sales of exempted goods under rule 4(1)(b) ......................................................................... (iv) Entry tax paid, if any (photocopy of challans to be enclosed) (2) Sales on which no tax is leviable under rule 4(1)(a) ...................................................................... 75%inofthe netcourse tax liability under the Netunder Present Compulsory (3)(v) Sales of inter-state trade ruleValue 4(1)(c) ...................................................................... Payment Scheme 2005 (4) Sales in the course of import into or export out of India under rule 4(1)(c) ...................................................................... to b(v) (5)Total Valueofofb(i) goods transferred or dispatched out of the State otherwise than by way of sales. (stock transferred) under rule 4(1) ITC of 7(a) & (b) (e)Total ...................................................................... (6)(c) Value of goods sent sale toof:local agents under rule 4(1)(f) ...................................................................... Reverse credit on for account (7)B. The amount of sale of goods returned within the- VII) prescribed No. and date of TDS Certificates (Form VAT 1. 2. 3. time Total i.e. six months under rule 4(1)(d) ...................................................................... (8) Sum allowed as cash discount in the bill/tax invoice if it is included in the above sale under section 2(ad). ...................................................................... (Attach separate statement if space is insufficient) Total paynents 12A & 12B Particulars Total of (1) to(a) (8)Gross ...................................................................... sales Add: (b) Goods returned debited to accounts C. Taxable Turnover of sales (A - B) ...................................................................... (c) Excise collection (if separately not credited to sales account) Saleswise of capital goodsof sales and output tax Value Tax (5)(d) A. Rate bifurcation (e) Other sales (f) Other adjustment (if any), specify Total (a to f) Less: (g) Tax (VAT/CST) (h) Goods returned in the prescribed manner within the prescribed time (i) Labour charges incase of works contract (if included in (a) above): (j) Other adjustments (if any), specify: GROSS TOTAL TURNOVER UNDER THE ACT Less: (k) Turnover of exempted goods within the State (l) Sales on which no tax is leviable (SEZ etc.): (m) Turnover of export/import or in the course of export/import outside the country covered by section 5(1), 5(2) and 5(3) of t (n) Interstates sales: (o) Value of Interstate branch transfers/consignment transfers: (p) Other deduction (if any, please specify): (q) BALANCE TURNOVER 16. A. DETERMINATION OF OUTPUT TAX SALES: RATE OF TAX 1% 4% 12.5% 20% Others TOTAl OFFICIAL GAZETTE - GOVT. OF GOA SERIES I No. 18 (EXTRAORDINARy) 16B. TOTAL TAX COLLECTED IN THE yEAR: (a) Under the Goa Value Added Tax Act: TURNO 1. 2. 3. 4. Sales taxable @ 1% Sales taxable @ 4% Sales taxable @ 12.5% Sales of goods specified in Schedule 'C' (give rate wise) ............................. ..................... B. Total ............................. ...................... C. Sale of capital goods and industrial inputs claimed under entry (23) and (53)Amount of sales @4% respe. of Schedule 'B' and included in taxable @ 4% sales shown above. Capital Goods Industrial inputs Rs. Rs. (Please enclose separate statement of sales alongwith respective declaration in Form Vat - XXX and Form VAT - XXXIII) (6) Turnover of purchases 318 SERIES I No. 18 OFFICIAL GAZETTE - GOVT. OF GO A. Total turnover of sale received/receivable in respect of goods sold including value of goods transferred out of State otherwise Exempted Taxable (@ 1%) (i) Imports from out of India. ................... (ii) Interstate purchases ................... (iii) Consignment transfers .................. (iv) Local purchases from registered dealers (a) Against tax invoices .................. (b) Against restricted tax invoice .................. (v) Local purchases from compo sition dealers and unregistered dealers ................... (vi) Others ................... /date of registration (ii) ITC admissible on capital goods (iii) ITC carried over from previous tax period (iv) Entry tax paid, if any (photocopy of challans to be enclosed) (v) 75% of net tax liability under the Net Present Value Compulsory Payment Scheme 2005 Total of b(i) to b(v) Total ITC of 7(a) & (b) (c) Reverse credit on account of: Total turnover of purchases .................................................................................................................................................................. ................. .................................................................................................................................................................. ................ (Please enclose separate statement of purchases, if any made against declaration Form VAT - XXX or Form VAT - XXXIII) 318 SERIES I No. 18 OFFICIAL GAZETTE - GOVT. OF GOA A. Total turnover of sale received/receivable in respect of goods sold including value of goods transferred out of State otherwise Exempted Taxable (@ 1%) (i) Imports from out of India. ................... (ii) Interstate purchases ................... (iii) Consignment transfers .................. (iv) Local purchases from registered dealers (a) Against tax invoices .................. (b) Against restricted tax invoice .................. (v) Local purchases from compo sition dealers and unregistered dealers ................... (vi) Others ................... /date of registration ITC Tax admissible (7)(ii)Input Credit on capital goods ITCadmissible carried over fromtax previous tax period (a)(iii) Total input on purchases covered under item 6(iv) above ............................ (b)(iv) Add: Entry tax paid, if any (photocopy of challans to be enclosed) (i)(v) ITC admissible onliability account of opening heldValue on appointed date/ 75% of net tax under the Netstock Present Compulsory (i)Payment Goods (purchases) returned within the prescribed time ........................... Scheme 2005 Total of b(i) to b(v) (4%) - section 6(3) ............................ (ii) On stock transfer Total ITC of 7(a) & (b) (c) Reverse credit on account of: B.Apportionment No. and date offorTDS Certificates of (Form VATgoods - VII) ........................... 1. 2. 3. Total (iii) manufacturing exempt (iv) Any of the contingencies covered under sub-section (2), (3), (5) & (6) of section 9. .......................... (v)(Attach Othersseparate (please specify) ............................ Total reduction [C(i) to 12A C(v)]&........................... statement if space is insufficient) Total paynents 12B Particulars (8) Total input tax credit [7(a) & 7(b)-7(c)] ........................... (a) Gross sales (9)Add: Amount of tax payable/refundable/carried forward (5B-8) ............................ (b) Goods returned debited to accounts (10) Outstanding liability to be set off against excess ITC, if any, under Amount (c) Excise collection (if separately not credited to sales account) (i) Goa VAT Act ............................ (d) Sales of capital goods (ii) Goa Sales Tax Act ............................ (e) Other sales (f) Other adjustment (if any), specify (iii) Goa(aTax Total to f)on Entry of Goods Act ............................ (g) Sales Tax (VAT/CST) (iv)Less: Central Tax Act ............................ (h) Goods returned in the prescribed manner within the prescribed .time Total . (i) Labour charges incase of works contract (if included in (a) above): (11) Net amount of tax refundable/carried (j) Other adjustments (if any), specify: forward (9-10) ............................ (12) No. and date of receipted challans which payments are made and TDS Certificates attached to this return in proof of GROSS TOTAL TURNOVER UNDERunder THE ACT payment. Less: (k) Turnover of exempted goods within the State A. No. and date of challan Period Amount 一(l) Sales on which no tax is leviable (SEZ etc.): 一(m) Turnover of export/import or in the course of export/import outside the country covered by section 5(1), 5(2) and 5(3) of th 一 (n)一 Interstates sales: .................. Total ................... (o) Value of Interstate branch transfers/consignment transfers: (p) Other deduction (if any, please specify): (q) BALANCE TURNOVER 16. A. DETERMINATION OF OUTPUT TAX SALES: RATE OF TAX TURNO 318 SERIES I No. 18 OFFICIAL GAZETTE - GOVT. OF GO A. Total turnover of sale received/receivable in respect of goods sold including value of goods transferred out of State otherwise Exempted Taxable (@ 1%) (i) Imports from out of India. ................... (ii) Interstate purchases ................... (iii) Consignment transfers .................. (iv) Local purchases from registered dealers (a) Against tax invoices .................. (b) Against restricted tax invoice .................. (13) of Bank Account (only the changes in the Bank Account if any during the return period to be reported) (v)Details Local purchases from compo sition dealers and unregistered dealers ................... Declaration (vi) Others ................... /date of registration I Shri/Smt ................................................................................................... of M/s (ii) ITC admissible on capital goods ................................................................................................ do solemnly declare that the particulars disclosed in this return are overknowledge from previous period true(iii) toITC the carried best of my and tax belief. (iv) Entry tax paid, if any (photocopy of challans to be enclosed) (v) 75% of net tax liability under the Net Present Value Compulsory Payment Scheme 2005 Place: ................... Signature ..................................... Total of b(i) to b(v) Total ITC of 7(a) & (b) Date: ..................... Proprietor/Partner/Director (c) Reverse credit on account of: B. No. and date of TDS Certificates (Form VAT - VII) 1. 2. 3. Total FORM VAT - XV (See rule 42) (Attach separate statement if space is insufficient) Total paynents 12A & 12B Particulars Audit Report (1) of section 70 of the Goa Value Added Tax Act, 2005 (Act 9 of 2005) in a case where the (a) under Gross sub-section sales accounts of the business have been under any other law. Add: (b) Goods returned debited audited to accounts (c) Excise collection (if separately not credited to sales account) 1. * I/We report that the statutory audit of ........................................................ (mention name and address of the dealer/ (d) Sales of capital goods /person) holding Tax Identification No. ............................................................... under Goa Value Added Tax Act, 2005 and (e) Other sales registration No. ................................... under the Central Sales Tax Act, 1956 was conducted by me/us/M/s. (f) Other adjustment (if any), specify ................................................................................. Chartered Accountants in pursuance of the provisions of section Total (a to f) ....................... of ..................................................... Act ........................... and we hereto annex a copy of our/their audit report Less: (g) Tax (VAT/CST) dated ..................... alongwith all the Annexures and a copy each of: (h) Goods returned in the prescribed manner within the prescribed time charges incase of works and contract (if included in (a)for above): (a)(i) theLabour audited profit and loss/income expenditure account year ended on ..................................................................; (j) Other adjustments (if any), specify: (b)GROSS the audited balance sheet as UNDER at ....................................; and TOTAL TURNOVER THE ACT Less: (k) Turnover exempted goods within (c) documents declaredofby the said Act to be partthe of, State or annexed to, the profit and loss/income and expenditure account and balance sheet. (l) Sales on which no tax is leviable (SEZ etc.): (m)The Turnover of export/import in required the course outside the 70 of country covered section 5(1), and 5(3) of t 2. statement of particularsoras to of beexport/import furnished under section the Goa Valueby Added Tax Act,5(2) 2005 and Goa Value Added Taxsales: Rules, 2005 are given in Annexure 'A' thereto. (n) Interstates (o) Value of Interstate branch transfers/consignment transfers: We report our observations/comments/discrepancies/inconsistencies, if any, as under: (p) Other deduction (if any, please specify): (q) BALANCE TURNOVER ........................................................................................ ........................................................................................ 16. A. DETERMINATION OF OUTPUT TAX SALES: RATE OFtoTAX Subject the above in our opinion and to the best of our information and according to the explanations given to us,TURNO the 1% particulars given in the said Form VAT XV and Annexure thereto are true and correct. 4% 12.5% For20% ..................................... Chartered Accountant Others TOTAl OFFICIAL GAZETTE - GOVT. OF GOA SERIES I No. 18 (EXTRAORDINARy) (Name) Proprietor/Partner M e m b e r s h i p N o . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A d d r e s s . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Date: *Strike off whichever is not applicable. Place: Annexure 'A. to Forn VAT - XV Statement of particulars required to be furnished under sub-section (1) of section 70 of the Goa Value Added Tax Act, 2005 (Act 9 of 2005) PART - A 1 Name of the dealer/person: 2 Address (Principal place of business): 3 Tax Identification No. under VAT Act: Registration No. under CST Act 4 Constitution of the dealer: 5 (a) Income Tax PAN No.: (b) Central Excise Registration No.: (c) Service Tax Registration No.: 6. Period under Audit: 7. Address of all branches and manufacturing units within the State: 8. Address of all branches and manufacturing units outside the State: 9. Nature of business - resale/manufacture/importer/exporter/works contractor/lessor/others (please specify): 10. Change in the nature of business (if any during the year): (the brief particulars of such change) 11. Changes in the constitution during the year: (the brief particulars of such change) 12. (a) Books of accounts maintained: (incase books of accounts are maintained in a Computer System, mention the books of accounts generated by such Computer System) List of books of accounts examined: Method of accounting followed and brief particulars of change, if any: Method of valuation of stock and brief particulars of change, if any: 13. Classes of main goods dealt with by the dealer: 14. Particulars of main operating bank accounts name of Bank Branch Account No.: PART - B WITHIN STATE SALES 15. GROSS TURNOVER OF SALE AS PER BOOKS OF ACCOUNTS: 318 SERIES I No. 18 OFFICIAL GAZETTE - GOVT. OF GO A. Total turnover of sale received/receivable in respect of goods sold including value of goods transferred out of State otherwise Exempted Taxable (@ 1%) (i) Imports from out of India. ................... (ii) Interstate purchases ................... (iii) Consignment transfers .................. (iv) Local purchases from registered dealers (a) Against tax invoices .................. (b) Against restricted tax invoice .................. (v) Local purchases from compo sition dealers and unregistered dealers ................... (vi) Others ................... /date of registration 318 SERIES I No. on 18 capital goods OFFICIAL GAZETTE - GOVT. OF GO (ii) ITC admissible (iii)Total ITC carried over fromreceived/receivable previous tax periodin respect of goods sold including value of goods transferred out of State otherwise A. turnover of sale Exempted Taxable (iv) Entry tax paid, if any (photocopy of challans to be enclosed) (@ 1%) (v) 75% of net tax liability under the Net Present Value Compulsory (i) Imports from out of India. ................... Payment Scheme 2005 (ii) Interstate ................... Total of b(i) topurchases b(v) (iii) Consignment transfers .................. Total ITC of 7(a) & (b) (iv) Local purchases registered dealers (c) Reverse credit onfrom account of: (a) Against tax invoices .................. B. No. and date of TDS Certificates (Form VAT - VII) 1. 2. 3. Total (b) Against restricted tax invoice .................. (v) Local purchases from compo (Attach separate if space is insufficient) Total paynents 12A & 12B sition dealers andstatement unregistered Particulars dealers ................... (vi) Others(a) Gross sales ................... Add: Goods returned debited to accounts /date (b) of registration (ii) admissible on(ifcapital goodsnot credited to sales account) (c) ITC Excise collection separately (iii) ITC carried over from previous tax period (d) Sales of capital goods (iv) Entry tax paid, if any (photocopy of challans to be enclosed) (e) Other sales (v) 75% of net tax liability under the Net Present Value Compulsory (f) Other adjustment (if any), specify Payment Scheme 2005 Total to f)to b(v) Total (a of b(i) Less: ITC (g) Tax (VAT/CST) Total of 7(a) & (b) (h) Reverse (c) Goods returned credit on in account the prescribed of: manner within the prescribed time B. No. andcharges date of TDS Certificates (Form VAT - VII) 1. in 2. (a) 3. Total (i) Labour incase of works contract (if included above): 318 SERIES I No. 18 OFFICIAL GAZETTE - GOVT. OF (j) Other adjustments (if any), specify: GROSS TOTAL TURNOVER UNDER THE ACTin respect of goods sold including value of goods transferred out of State otherw A. Total turnover of sale received/receivable Exempted Taxa Less: (k) Turnover of exempted goods within the State (Attach separate statement if space is insufficient) Total paynents 12A & 12B (@ 1 Particulars (l) Sales on which no tax is leviable (SEZ etc.): (i) Imports from out of India. ................... (a) Gross sales (ii) Interstate purchases ................... (m) Turnover of export/import or in the course of export/import outside the country covered by section 5(1), 5(2) and 5(3) of t Add: (b) Goods returned debited to accounts (iii) Consignment transfers .................. (n) Interstates sales: (if separately not credited to sales account) (c) (iv) Excise collection Local purchases from registered dealers (o) Value of capital Interstate branch transfers/consignment transfers: (d)(a) Sales of goods Against tax invoices .................. (p) Other deduction (if any, please specify): (b) Against restricted tax (e) Other sales (q) BALANCE TURNOVER invoice .................. (f) Other adjustment (if any), specify 16.(v) A. Local DETERMINATION OF OUTPUT TAX SALES: purchases from compo Total (a to f) *Note: (Total taxable turnover to match with total turnover of sales as per 15q. RATE OFdealers TAX TURNO sition and unregistered Less: (g) Tax (VAT/CST) 1%dealers ................... (h) Goods returned in the prescribed manner within the prescribed time 4%(vi) Others ................... (i) Labour charges incase of works contract (if included in (a) above): /date of registration 12.5% (j) Other (if any), specify: (ii) ITCadjustments admissible on capital goods 20% 318 SERIES I No. 18 OFFICIAL GAZETTE - GOVT. OF GO A. Total turnover of sale received/receivable in respect of goods sold including value of goods transferred out of State otherwise Exempted Taxable (@ 1%) (i) Imports from out of India. ................... (ii) Interstate purchases ................... (iii) Consignment transfers .................. (iv) Local purchases from registered dealers (a) Against tax invoices .................. (b) Against restricted tax 318 SERIES I No. 18 OFFICIAL GAZETTE - GOVT. OF GOA invoice .................. A. of sale in respect of goods sold including value of goods transferred out of State otherwise (v)Total Localturnover purchases fromreceived/receivable compo Exempted Taxable sition dealers and unregistered (@ 1%) dealers ................... (i) ................... (vi)Imports Others from out of India. (ii) Interstate purchases ................... /date of registration (iii) Consignment .................. (ii) ITC admissibletransfers on capital goods (iv) purchases from previous registeredtax dealers (iii) Local ITC carried over from period (a) taxpaid, invoices .................. (iv) Against Entry tax if any (photocopy of challans to be enclosed) (b) Against restricted tax (v) 75% of net tax liability under the Net Present Value Compulsory invoice Scheme 2005 .................. Payment (v) Local purchases Total of b(i) to b(v) from compo sition Total dealers ITC of and 7(a) unregistered & (b) dealers ................... (c) Reverse 318 SERIEScredit I No. on 18 account of: OFFICIAL GAZETTE - GOVT. OF GOA (vi) Others ................... B. No. and date of TDS Certificates (Form VAT - VII) 1. 2. 3. Total A./date Total of sale received/receivable in respect of goods sold including value of goods transferred out of State otherwise ofturnover registration Exempted Taxable (ii) ITC admissible on capital goods (@ 1%) (iii) ITC carried over from previous tax period (i) Imports from out India. ................... (Attach statement if space is Total paynents 12A & 12B (iv) Entryseparate tax paid, ifofany (photocopy of insufficient) challans to be enclosed) (ii) Interstate purchases ................... Particulars (v) 75% of net tax liability under the Net Present Value Compulsory (iii) Consignment transfers .................. (a) Gross sales Payment Scheme 2005 (iv) Local purchases from registered dealers Add:of(b)b(i) Goods returned debited to accounts Total to b(v) (a) Against tax7(a) invoices .................. Total ITC of & (b) (c) Against Excise collection (if separately not credited to sales account) (b) restricted tax 318Reverse SERIES I No. on 18 account of: OFFICIAL GAZETTE - GOVT. OF GOA (c) (d) Sales of credit capital goods invoice .................. B. No. and date of TDS Certificates (Form VAT VII) 1. 2. 3. Total A. in respect of goods sold including value of goods transferred out of State otherwise (e)Total Otherturnover sales of sale (v) Local purchases fromreceived/receivable compo Exempted Taxable sition dealers and unregistered (f) Other adjustment (if any), specify (@ 1%) dealers ................... Total (a to f) (i) Imports from out of India. ................... (vi) Others ................... (Attach separate statement if space is insufficient) Total paynents 12A & 12B Less: (g) Tax (VAT/CST) (ii) Interstate purchases ................... /date of registration Particulars (h) Goods returned in the prescribed manner within the prescribed time (iii) Consignment transfers .................. (a) Grosson sales (ii) ITC admissible capital goods (iv) Local purchases from registered dealers (i) Labour charges incase of workstax contract (iii) ITC(b)carried from previous period(if included in (a) above): Add: Goodsover returned debited to accounts (a) Against tax invoices .................. (j) Other adjustments (if any), specify: (iv) Entry tax paid, if (if any (photocopy challanstotosales be enclosed) (c) separately notofcredited account) (b) Excise Againstcollection restricted tax GROSS TOTAL UNDER ACTValue Compulsory (v) 75% of net taxTURNOVER liability under the NetTHE Present invoice .................. (d) Sales of capital goods Less: (k) Turnover of exempted goods within the State Payment Scheme 2005 (v) Local purchases from compo (e) Other sales Total of b(i) to b(v) sition dealers and unregistered (l) Other Sales on which no(iftax is leviable (f) adjustment any), specify(SEZ etc.): Total ITC of 7(a) & (b) dealers (m)Reverse Turnover of export/import or in the course of export/import outside the country covered by section................... 5(1), 5(2) and 5(3) of th Total (a to f) credit (c) on account of: (vi) Others ................... B. No. and datesales: of TDS Certificates (Form VAT - VII) 1. 2. 3. Total (n) Less: Interstates (g)registration Tax (VAT/CST) /date of (o) ITC Value of Interstate branch transfers/consignment transfers: (h) Goods returned in capital the prescribed manner within the prescribed time (ii) admissible on goods (p)Labour Other deduction (if any, specify): (i) charges ofplease works tax contract (iii) ITC carried overincase from previous period(if included in (a) above): (q) BALANCE TURNOVER (j) Other adjustments (if any), specify: (iv) Entry tax paid,statement if any (photocopy ofinsufficient) challans to Total be enclosed) (Attach separate if space is paynents 12A & 12B Particulars 16.75% A. DETERMINATION OFUNDER OUTPUT TAX SALES: (v) of net taxTURNOVER liability under the NetTHE Present Compulsory GROSS TOTAL ACT Value B ON OTHER GOODS RATE TAX (a) Gross2005 sales TURNO Payment Less:OF (k)Scheme Turnover of exempted goods within the 17 State Total to b(v) Add:of (b)b(i) Goods returned debited to accounts 1% (l) onof which tax is leviable (SEZ etc.): Total ITC 7(a) no & (b) 4%Sales (c) Excise collection (if separately not credited to sales account) *Note: of turnover under column 17 Athe + 17 Bcountry to match with 17by C.section 5(1), 5(2) and 5(3) of th (c) Reverse on account of:in Total (m) Turnovercredit of export/import or the course of export/import outside covered 12.5% (d) Sales ofdate capital goods B. No. and of TDS Certificates (Form VAT VII) 1. 2. 3. Total 20% (n) (e) Interstates Other salessales: (o) Valueadjustment of Interstate(ifbranch transfers/consignment transfers: Others (f) Other any), specify (p) Other deduction (if any, please specify): 18. TAX LIABILITY Total (a to f) (Attach separate statement if space is insufficient) Total paynents 12A & 12B (q) BALANCE TURNOVER TOTAl Less: (g) Tax (VAT/CST) Particulars OFFICIAL GAZETTE - GOVT. OF GOA TAX SALES: 16. A. DETERMINATION OF OUTPUT (h) GoodsI (a) returned in the prescribed manner within the prescribed time Gross sales SERIES No. 18 (EXTRAORDINARy) RATE OF TAX TURNO (i) Labour charges incase of workstocontract (if included in (a) above): Add: (b) Goods returned debited 16B. TOTAL TAX COLLECTED INaccounts THE yEAR: 1% (j) (if any), specify: (a)Other Underadjustments the Goa Value Added Tax 4% (c) Excise collection (if separately notAct: credited to sales account) 318 SERIES I No. 18 OFFICIAL GAZETTE - GOVT. OF A. Total turnover of sale received/receivable in respect of goods sold including value of goods transferred out of State otherw Exempted Taxa (@ 1 19. (i) Imports from out of India. ................... TURNOVER DISCLOSED IN RETURN AND TAX PAID (ii) Interstate purchases ................... (iii) Consignment transfers .................. (iv) Local purchases from registered dealers (a) Against tax invoices .................. (b) Against 318 SERIES restricted I No. 18 tax OFFICIAL GAZETTE - GOVT. OF 22. invoice A. Total turnover of sale received/receivable in respect of goods sold including value of goods transferred.................. out of State otherw (v) Local purchases from compo Exempted Taxa sition dealers and unregistered (@ 1 dealers ................... (i) Imports from out of India. ................... (vi)Interstate Others purchases ................... (ii) ................... /date of registration (iii) Consignment transfers .................. (ii) ITC admissible on capital goods (iv) Local purchases from registered dealers (iii) ITC carried over from previous tax period (a) Against tax invoices .................. (iv) Against Entry taxrestricted paid, if any (b) tax (photocopy of challans to be enclosed) (v) invoice 75% of net tax liability under the Net Present Value Compulsory .................. Payment Scheme 2005 (v) Local purchases from compo Total of b(i) toand b(v)unregistered sition dealers Total ITC of 7(a) & (b) dealers ................... (c) Reverse (vi) Others credit on account of: ................... B./date No. of and date of TDS Certificates (Form VAT - VII) 1. 2. 3. Total registration (ii) ITC admissible on capital goods (iii) ITC carried over from previous tax period (iv) Entry tax paid,statement if any (photocopy ofinsufficient) challans to Total be enclosed) (Attach separate if space is paynents 12A & 12B 318 SERIES I No. 18 OFFICIAL GAZETTE - GOVT. OF (v) 75% of net tax liability under the Net Present Value Compulsory Particulars A. Total turnover of sale received/receivable in respect of goods sold including value of goods transferred out of State otherw Payment Scheme (a) Gross2005 sales Exempted Taxa Total of b(i) to b(v) Add: (b) Goods returned debited to accounts (@ 1 Total ITC of 7(a) & (b) (c) (i) Imports Excise collection from out of (if India. separately not credited to sales account) ................... (c) Reverse credit on account of: (ii) Interstate purchases ................... B. andofdate of 18 TDS Certificates (Form VAT - VII) 1. 2. 3. Total (d) Sales capital goods 318No. SERIES I No. OFFICIAL GAZETTE - GOVT. OF (iii) Consignment transfers .................. Whether there is delay in returns: If yes, please give particulars as under: (e) Other sales A. of sale (iv)Total Localturnover purchases fromreceived/receivable registered dealers in respect of goods sold including value of goods transferred out of State otherw (f) Other adjustment (if any), specify Exempted Taxa (a) Against tax invoices .................. Total (a to f) (@ 1 (Attach separate statement if space is insufficient) Total paynents 12A & 12B (b) Against restricted tax Particulars (g) Tax (VAT/CST) (i)Less: Imports from out of India. ................... invoice .................. (ii) purchases ................... (a) Gross in sales (h) Interstate Goodspurchases returned the compo prescribed manner within the prescribed time (v) Local from (iii) Consignment transfers .................. (b) Goods accounts sition dealers andreturned unregistered (i)Add: Labour charges incase debited of workstocontract (if included in (a) above): (iv) Local purchases from registered dealers dealers ................... (j) Other any), specify: (c) Exciseadjustments collection (if(ifseparately not credited to sales account) (a) Against .................. (vi) Others tax invoices ................... GROSS TOTAL TURNOVER UNDER THE ACT (d) Sales ofrestricted capital goods (b) Against tax /date of registration Less: (k)sales Turnover of exempted goods within the State (e) Other invoice .................. 318 SERIES I No. on 18 OFFICIAL GAZETTE - GOVT. OF (ii) ITC admissible capital goods (f) Other adjustment (if any), specify (v) Local purchases from compo (iii) ITC carried over from previous period (l) Sales on which taxreceived/receivable is leviabletax (SEZ etc.): A. Total turnover ofnosale in respect of goods sold including value of goods transferred out of State otherw sition dealers and unregistered Total (a to f) Exempted Taxao (iv) Entry tax paid, if any (photocopy of course challans be enclosed)outside the (m) Turnover of export/import or in the ofto export/import country covered by section 5(1), 5(2) and 5(3) dealers ................... (@ 1 Less: (g) Tax (VAT/CST) (v) 75% of net tax liability under the Net Present Value Compulsory (n) Interstates sales: (vi) Others ................... (i) Imports from out2005 of the India. ................... (h) GoodsScheme returned in prescribed manner within the prescribed time Payment /date of registration (o) Value of to Interstate branch transfers/consignment transfers: (ii) Interstate purchases ................... Total of b(i) b(v) (i) Labour charges incase of works contract (if included in (a) above): (ii) admissible on capital goodsspecify): (p) ITC Other deduction (if any, please (iii) Consignment .................. Total ITC of 7(a)transfers & (b) (j) Other adjustments (if any), specify: (iii) ITC carried over previous period (iv) Local purchases from registered dealers (q) Reverse BALANCE TURNOVER (c) credit onfrom account of: tax GROSS TOTAL TURNOVER UNDER ACT be enclosed) 318 SERIES I paid, No. OFFICIAL GAZETTE - GOVT. OF G (iv) Entry ifTDS anyCertificates (photocopy of THE challans (a) Against tax invoices .................. B. andtax date of18 (Form VAT -to VII) 1. 2. 3. Total 16.No. A. DETERMINATION OF OUTPUT TAX SALES: Less: (k) Turnover of exempted goods within the State (v) 75% ofTAX net tax under the Net Present ValueofCompulsory Against restricted taxreceived/receivable A.(b) Total turnover of liability sale in respect goods sold including value of goods transferred out of State otherwis RATE OF TUR Payment Scheme 2005 invoice .................. Taxab Exempted 1% (l) Sales on which no tax is leviable (SEZ etc.): Total of b(i) to b(v) from compo (@ 1% (v) Local purchases 4% (m) Turnover of export/import or in the course of export/import outside the country covered by section 5(1), 5(2) and 5(3) o (Attach separate statement if space is insufficient) Total paynents 12A & 12B Total ITC of 7(a) & (b) dealers (i)sition Imports fromand out unregistered of India. ................... 12.5% Particulars (c) Reverse credit on account of: (n)Interstate Interstates sales: (ii) purchases ................... dealers ................... 20% (a) Gross sales B. No. andof date of TDS Certificates (Form VAT - VII) transfers: 1. 2. 3. Total (iii) transfers .................. (vi) Others ................... (o)Consignment Value Interstate branch transfers/consignment Others Add: (b) Goods returned debited to accounts /date of registration (iv) Local purchases from registered dealers (p) Other deduction (if any, please specify): (a) tax invoices .................. (ii) ITC admissible on(ifcapital goodsnot credited to sales account) (c) Excise collection separately (q)Against BALANCE TURNOVER TOTAl (b) Against restricted tax (iii) ITC carried overgoods from previous tax period (d) Sales of capital 16. A. DETERMINATION OUTPUT TAX SALES: (Attach separate statement OF if space is insufficient) Total paynents 12A & 12B invoice OFFICIAL GAZETTE - GOVT. OF GOA .................. (iv) Entry tax paid, if any (photocopy of challans to be enclosed) Particulars RATE OF TAX TUR (e) Other sales SERIES I No. 18 (EXTRAORDINARy) (v) Local purchases from compo 23 Whether the dealer has deducted tax at source and paid the sane to the credit of State Governnent in accordance with the provisions of Act and Rules Total Tax deducted: ........................................................ Total Tax deposited: ....................................................... (if 318 SERIES I No. 18 OFFICIAL GAZETTE - GOVT. OF GO there is delay in deposit of tax so deducted, please give particulars as under) A. Total turnover of sale received/receivable in respect of goods sold including value of goods transferred out of State otherwise Exempted Taxable (@ 1%) 24. Give details of sales effected as connission agent, in the following proforna: ................... (i) Imports from out of India. (ii) Interstate purchases ................... (iii) Consignment transfers .................. 25.(iv) Whether the sales of any taxable goods is clained exenpt under the Goa Value Added Tax Act/Rules, if yes, give details of Local purchases from registered dealers (a) Against tax invoices .................. 318Against SERIES I No. 18 tax OFFICIAL GAZETTE - GOVT. OF GO (b) restricted such sales: invoice .................. A. Total turnover of sale received/receivable in respect of goods sold including value of goods transferred out of State otherwise Exempted Taxable (v) Local purchases from compo (@ 1%) sition dealers and unregistered (i) Imports from out of India. dealers ................... 26.Interstate Statenentpurchases of sales alongwith respective declaration in Forn VAT XXX & Forn VAT XXXIII 26 (a) Whether any sales clained (ii) (vi) Others ................... (iii) Consignment transfers .................. /date of registration as taxable under Entry (53) of Schedule 'B. (Industrial inputs and packing (iv)ITC Local purchases registered (ii) admissible onfrom capital goods dealers (a) Against tax invoices .................. (iii) ITC carried over from previous tax period 318 SERIES I No. 18 OFFICIAL GAZETTE - GOVT. OF GOA (b) Against restricted tax (iv) Entry paid, if any (photocopy to be enclosed) naterials) aretax supported with declarationofinchallans Forn VAT XXXIII If not give detail Sales (Wanting invoice .................. (v)Total 75%turnover of net taxofliability under the Net Present Value of Compulsory A. sale received/receivable in respect goods sold including value of goods transferred out of State otherwise (v) Local from compo Exempted Taxable Forn VATpurchases XXXIII) 2005 Payment Scheme sition of dealers (@ 1%) Total b(i) to and b(v)unregistered dealers ................... Total ITC of 7(a) & (b) (i) Imports from out of India. ................... (vi) Others ................... (c) Reverse credit on sales account of: as taxable under Entry (23) of Schedule 'B. (Capital Goods) are supported (ii) purchases ................... 26.Interstate (b) Whether any clained with declaration /date of registration B. No. andXXX date of TDSgive Certificates Consignment .................. in(iii) Forn VAT Iftransfers not, details (Form VAT - VII) 1. 2. 3. Total (ii) Local ITC admissible capital goods dealers (iv) purchaseson from registered (iii) ITC(Wanting carried over Sales Formfrom VATprevious XXX) tax period (a) Against tax invoices .................. (iv)Against Entry tax paid, if any (b) restricted tax (photocopy of challans to be enclosed) (Attach separate statement if space is insufficient) Total paynents 12A & 12B invoice .................. (v) 75% of net tax liability under the Net Present Value Compulsory Particulars Payment Scheme 2005 (v) Local purchases from compo (a)toGross sales Totaldealers of b(i) b(v)unregistered sition and Add: (b) Goods Total ITC of 7(a)returned & (b) debited to accounts dealers ................... 318 SERIES I No. 18 OFFICIAL GAZETTE - GOVT. OF G Reverse credit on(ifaccount of: not credited to sales account) (vi) ................... (c) Others Excise collection separately A. Total turnover of sale received/receivable B. No. of TDS Certificates (Form VATin- respect VII) 1. 2.of3.goods Total sold including value of goods transferred out of State otherwis /date ofand registration (d) Sales ofdate capital goods Exempted Taxab (ii) admissible (e)ITC Other sales on capital goods (@ 1% (iii) ITC carried over from previous tax period (f)(i) Other adjustment Imports from out(ifofany), India.specify ................... (iv)(ii) Entry tax paid, if any (photocopy of challans to be enclosed) Interstate ................... (Attach statement if space is insufficient) Total paynents 12A & 12B Total (a separate to f) purchases (v) 75% of net tax liability under the Net Present Value Compulsory Particulars (iii) Consignment transfers .................. Less: (g) Tax (VAT/CST) Payment Scheme 2005 (iv) Local(a) purchases from registered dealers Gross sales (h) Goods in the prescribed manner within the prescribed time Total b(i)returned to tax b(v)invoices (a) of Against .................. Add: (b) Goods returned debited to accounts Total ITC charges of 7(a) &incase (b) (i)(b) Labour Against restricted taxof works contract (if included in (a) above): (c)Reverse Excise collection not credited to sales account) (c) credit on (if account (j) Other (ifseparately any), of: specify: invoiceadjustments .................. B. No. and date of TDS Certificates (Form VAT - VII) 1. 2. 3. Total (d) Sales of capital goods GROSS TOTAL TURNOVER UNDER THE ACT (v) Local purchases from compo (e) Other sales sition dealers and of unregistered Less: (k) Turnover exempted goods within the State SERIES I No. 18 OFFICIAL GAZETTE - GOVT. OF G (f)318 Other adjustment (if any), specify dealers ................... (l) Sales on which no tax is leviable (SEZ etc.): (vi) Others ................... A. Total turnover of sale received/receivable in respect of goods sold including value of goods transferred out of State otherwis Total (a to f) (Attach separate statement if space is insufficient) Total paynents 12A & 12B (m) Turnover of export/import or in the course of export/import outside the country covered by section 5(1), 5(2) and 5(3) of th /date of registration Exempted Taxab Particulars Less: (g) Tax (VAT/CST) (@ 1% (ii) ITC (a) admissible on capital goods (n) sales:sales Gross (h) Interstates Goods returned in the prescribed manner within the prescribed time (i) Imports from out of India. ................... (iii) ITC carried over from previous tax period (o) Value of Interstate branch transfers/consignment transfers: Add: (b) Goods returned debited to contract accounts(if included (i) Labour charges incase of works in (a) above): (ii) Interstate purchases ................... (iv) Entry tax paid, if any (photocopy of challans to be enclosed) (p) Other deduction (if any, please specify): (j)(iii) Other adjustments any), specify: (c) Excise collection transfers (if (if separately not credited to sales account) Consignment .................. (v) 75% of net tax liability under the Net Present Value Compulsory (q) BALANCE TURNOVER (d) GROSS Sales TOTAL of capital TURNOVER goods UNDER THE ACT (iv) Local purchases from registered dealers Payment Scheme 2005 16. A.Against DETERMINATION OF OUTPUT TAXtheSALES: (a) tax invoices .................. Less: (k) Turnover of exempted goods within State (e) Other Total ofsales b(i) to b(v) RATE OF TAX TURNO (b) Against restricted tax specify Total ITC of 7(a) (if & any), (b) (f) Other adjustment (l) Sales on which no tax is leviable (SEZ etc.): 1% invoice .................. (c) Reverse Total (a to f) credit on account of: 4% (m) Turnover of export/import or in the course of export/import outside the country covered by section 5(1), 5(2) and 5(3) of t PART C EXPORT SALES 27. (a) Total export sales [total to natch sales in colunn 15(n)] (b) 318 SERIES I No. 18 OFFICIAL GAZETTE - GOVT. OF Whether all declarations for export (Forn H) are available on record If not, give details A. Total turnover of sale received/receivable in respect of goods sold including value of goods transferred out of State otherw Exempted Taxa (@ 1 PART D (i) Imports from out of India. ................... INTERSTATE SALES (ii) Interstate purchases ................... (iii) Consignment transfers .................. 1. TURNOVER OF INTERSTATE SALESdealers ETC (As per Books) (iv) Local purchases from registered (a) Against tax invoices (b) Against restricted tax invoice (v) Local purchases from compo sition dealers and unregistered dealers (vi) Others /date of registration (ii) ITC admissible on capital goods (iii) ITC carried over from previous tax period (iv) Entry tax paid, if any (photocopy of challans to be enclosed) (v) 75% of net tax liability under the Net Present Value Compulsory Payment Scheme 2005shown in return. 2. Details of taxable sales Total of b(i) to b(v) Total ITC of 7(a) & (b) (c) Reverse credit on account of: B. No. and date of TDS Certificates (Form VAT - VII) 1. 2. 3. Total .................. .................. ................... ................... (Attach separate statement if space is insufficient) Total paynents 12A & 12B Particulars (a) Gross sales Add: (b) Goods returned debited to accounts (c) Excise collection (if separately not credited to sales account) (d) Sales of capital goods 3. Give reconciliation (e) Other sales of difference, if any in taxable sales as per books and as per return (f) Other adjustment (if any), specify Total (a to f) Less: (g) Tax (VAT/CST) (h) Goods returned in the prescribed manner within the prescribed time (i) Labour charges incase of works contract (if included in (a) above): (j) Other adjustments (if any), specify: GROSS TOTAL TURNOVER UNDER THE ACT Less: (k) Turnover of exempted goods within the State (l) Sales on which no tax is leviable (SEZ etc.): (m) Turnover of export/import or in the course of export/import outside the country covered by section 5(1), 5(2) and 5(3) o (n) Interstates sales: 4. Whether there is delay in paynent of tax If yes, give particulars as under: (o) Value of Interstate branch transfers/consignment transfers: (p) Other deduction (if any, please specify): (q) BALANCE TURNOVER 16. A. DETERMINATION OF OUTPUT TAX SALES: RATE OF TAX 1% 4% TUR 318 SERIES I No. 18 OFFICIAL GAZETTE - GOVT. OF A. Total turnover of sale received/receivable in respect of goods sold including value of goods transferred out of State otherw Exempted Taxa (@ 1 (i) Imports from out of India. ................... (ii) Interstate purchases ................... (iii) Consignment transfers .................. (iv) Local purchases from registered dealers (a) Against tax invoices .................. (b) Against restricted tax invoice .................. (v) Local purchases from compo sition dealers and unregistered dealers ................... 318 SERIES I No. 18 OFFICIAL GAZETTE - GOVT. OF (vi) Others ................... /date of registration A. Total turnover of sale received/receivable in respect of goods sold including value of goods transferred out of State otherw Exempted Taxa (ii) ITC admissible on capital goods (@ 1 (iii) ITC carried over from previous tax period (i) Imports from out of India. ................... (iv) Entry tax paid, if any (photocopy of challans to be enclosed) (ii) ................... (v) Interstate 75% of netpurchases tax liability under the Net Present Value Compulsory (iii) Consignment transfers .................. Payment Scheme 2005 (iv) Local purchases Total of b(i) to b(v) from registered dealers (a) Against tax7(a) invoices .................. Total ITC of & (b) (b) Reverse Against restricted (c) credit on tax account of: .................. B.invoice No. and date of TDS Certificates (Form VAT - VII) 1. 2. 3. Total (v) Local purchases from compo sition dealers and unregistered dealers ................... (Attach separate statement if space is insufficient) Total paynents 12A & 12B (vi) Others ................... Particulars /date of registration (a) Grosson sales (ii) ITC admissible capital goods Add: Goodsover returned debited to accounts (iii) ITC(b)carried from previous tax period 318 SERIES I No. 18 OFFICIAL GAZETTE - GOVT. OF G (iv) Excise Entry tax paid, if (if any (photocopy challanstotosales be enclosed) (c) collection separately notofcredited account) A.(v) Total turnover of sale received/receivable in respect goods sold including value of goods transferred out of State otherwis 75% ofofnet tax liability under the Net Present ValueofCompulsory (d) Sales capital goods Exempted Taxabl Payment 2005 (e) Other Scheme sales (@ 1% Total of b(i) to b(v) (f) Other adjustment (if any), specify (i)Total Imports from out of ................... ITC of 7(a) & India. (b) (a to f) (ii)Total Interstate purchases ................... (c) Reverse credit on account of: (iii) Consignment transfers .................. (g) Tax B.Less: No. and date(VAT/CST) of TDS Certificates (Form VAT - VII) 1. 2. 3. Total (iv) Local purchases from registered dealers (h) Goods returned in the prescribed manner within the prescribed time (a) Against tax invoices .................. (i) Labour charges incase of works contract (if included in (a) above): (b) Against restricted tax (j) Otherseparate adjustments (if any), specify: (Attach statement if space is insufficient) Total paynents 12A & 12B invoice .................. GROSS TOTAL TURNOVER UNDER THE ACT Particulars (v) Local purchases from compo Less: (k) (a) Turnover of exempted goods within the State Gross sales sition dealers and unregistered 32. 318 SERIES I No. 18 OFFICIAL GAZETTE - GOVT. OF G Whether there is delay in filing of return If yes, give particulars as under: A. Total turnover of sale received/receivable in respect of goods sold including value of goods transferred out of State otherwis Exempted Taxab (@ 1% 33. Whether Inter-State sales clained as liable to tax U/s 8(1) of CST Act, are supported with declaration in Forn C/D If not give (i) Imports from out of India. ................... details: (ii) Interstate purchases ................... (iii) Consignment transfers .................. SALES (Wanting Form C/D) (iv) Local purchases from registered dealers (a) Against tax invoices .................. (b) Against restricted tax 34.invoice Whether Inter-State sales clained as exenpt under section 6(2) of CST Act, are supported with necessary declaration, If .................. not, give details:(v) Local purchases from compo sition dealers and unregistered 318 SERIES I No. 18 OFFICIAL GAZETTE - GOVT. OF G dealers ................... SALES (Wanting Form C/D) (vi)Total Others A. turnover of sale received/receivable in respect of goods sold including value of goods transferred................... out of State otherwis /date of registration Exempted Taxab (@ 1% (ii) ITC admissible on capital goods 1. Whether clains of all Inter-State branch transfer/ consignnent transfers U/s 6A of CST Act are supported with declaration in (iii) ITC carried over from previous tax period (i) Imports fromgive out details:of India. ................... Forn 'F., if not, (ii) ................... (iv)Interstate Entry tax purchases paid, if any (photocopy of challans to be enclosed) (iii) 75% Consignment .................. (v) of net taxtransfers liability under the Net Present Value Compulsory (iv) Local Scheme purchases from registered dealers Payment 2005 (a) Against invoices .................. Total of b(i) tax to b(v) (b) Against restricted tax Total ITC of 7(a) & (b) invoice .................. (c) Reverse credit on account of: B. No. and date of TDS (Form VAT - VII) 1. 2. 3. Total (v) Local purchases fromCertificates compo sition dealers and unregistered 318 SERIES I No. 18 OFFICIAL GAZETTE - GOVT. OF G dealers ................... (vi) Others ................... A. Total turnover statement of sale received/receivable in respect goods sold (Attach if space is insufficient) Totalofpaynents 12Aincluding & 12B value of goods transferred out of State otherwis /date ofseparate registration Exempted Taxab Particulars (ii) ITC admissible on capital goods (@ 1% (a) Gross sales (iii) ITC carried over from previous tax period (i) Imports from out of India. ................... Add: (b) Goods returned debited to accounts (iv) Entry tax purchases paid, if any (photocopy of challans to be enclosed) (ii) Interstate ................... (c) Excise (if separately not credited toValue sales Compulsory account) (v) of collection net taxtransfers liability under the Net Present (iii) 75% Consignment .................. Payment (iv) Local Scheme purchases from registered dealers (d) Sales of capital2005 goods Total of b(i) to b(v) (a) tax invoices .................. (e) Against Other sales Total ITC of 7(a) & (b) (b) Against restricted tax (f) Other adjustment (if any), specify (c) Reverse credit on account of: invoice .................. (aand toInter-State f)date of TDS B. No. Certificates (Form VAT VII) 1. 2. 3. Total 2. Total Whether sales clained as exenpt under section 8(5) of CST Act, are supported with declaration in Forn C/D, If (v) Local purchases from compo Less: (g) Tax (VAT/CST) not, give details: sition dealers and unregistered (h) Goods returned in the prescribed manner within the prescribed time dealers ................... (i) Labour (vi) Otherscharges incase of works contract (if included in (a) above): ................... (Attach separate statement if space is insufficient) Total paynents 12A & 12B /date of adjustments registration (if any), specify: (j) Other Particulars (ii) ITC admissible on capital goods GROSS TOTAL TURNOVER UNDER THE ACT (a) Gross sales (iii) ITC(k) carried over of from previousgoods tax period Less: Turnover exempted within the State Add: (b) Goods returned debited to accounts (iv) Entry tax paid, if any (photocopy of challans to be enclosed) (l) oncollection which no(iftax isunder leviable (SEZ etc.):toValue (c) Excise separately not credited sales Compulsory account) (v)Sales 75% of net tax liability the Net Present 318 SERIES I No. 18 OFFICIAL GAZETTE - GOVT. OF G (d) Sales of capital goods (m) Turnover of export/import or in the course of export/import outside the country covered by section 5(1), 5(2) and 5(3) o Payment Scheme 2005 Total of b(i) to sales: b(v)of sale received/receivable in respect of goods sold including value of goods transferred out of State otherwis A. turnover (e) Other sales (n)Total Interstates Total ITC of 7(a) & (b)any), specify Exempted Taxab (f) (o)Other Valueadjustment of Interstate(ifbranch transfers/consignment transfers: (@ 1% (c) Reverse of: Total (a todeduction f) credit on(ifaccount (p) Other any, please specify): B. Imports No. and from date out of TDS Certificates (Form VAT - VII) 1. 2. 3. Total (i) of India. ................... Less: (g) Tax TURNOVER (VAT/CST) (q) BALANCE (ii) Interstate purchases ................... (h) returned in the prescribed manner within the prescribed time 16. Goods A. DETERMINATION OF OUTPUT TAX SALES: (iii) Consignment transfers .................. (i) Labour charges incase of works contract RATE OF TAX TURN (iv) Local purchases from registered dealers(if included in (a) above): (Attach separate statement if space is insufficient) Total paynents 12A & 12B (a) Against tax invoices .................. 1%Other (j) adjustments (if any), specify: Particulars (b) restricted tax 4% Against GROSS TOTAL TURNOVER UNDER THE ACT (a) Gross sales invoice .................. 12.5% Less: (k) Turnover of exempted goods within the State Add: (b) purchases Goods returned debited to accounts (v) Local from compo 20% (l) Sales oncollection which no(iftax is leviablenot (SEZ etc.):to sales account) sition dealers and unregistered (c) Excise separately credited Others dealers (m)Sales Turnover of export/import or in the course of export/import outside the country covered by section................... 5(1), 5(2) and 5(3) o (d) of capital goods (vi) Others ................... (e) Other salessales: (n) Interstates TOTAl /date of registration 318 SERIES I No. 18 OFFICIAL GAZETTE - GOVT. OF G 318 SERIES I No. 18 OFFICIAL GAZETTE - GOVT. OF A. Total turnover of sale received/receivable in respect of goods sold including value of goods transferred out of State otherwis A. Total turnover of sale received/receivable in respect of goods sold including value of goods transferred out of State otherw Exempted Taxab Exempted Taxa (@ 1% (@ 1 (i) Imports from out of India. ................... (i) Interstate Imports from out of India. ................... (ii) purchases ................... (ii) Consignment Interstate purchases ................... (iii) transfers .................. (iii)Local Consignment transfers .................. (iv) purchases from registered dealers (iv)Against Local purchases from registered dealers SALES (Wanting Form C/D) (a) tax invoices .................. (a)Against Againstrestricted tax invoices .................. (b) tax (b) Against restricted tax invoice .................. .................. (v)invoice Local purchases from compo 37. INPUT TAX ADJUSTMENTS INFORMATION (In case Input Tax Credit is nore than Output Tax) (v) Local purchases from compo sition dealers and unregistered sitionSERIES dealersIand 318 No. unregistered 18 OFFICIAL GAZETTE - GOVT. OF dealers ................... dealers ................... (vi) Others ................... A. Total turnover of sale received/receivable in respect of goods sold including value of goods transferred out of State otherw (vi) Others ................... /date of registration Exempted Taxa /date of registration 38 (ii) ITC admissible on capital goods (@ 1 (ii) ITC ITC carried admissible on capital goods (iii) over from previous tax period (i) Imports from out of India. ................... (iii) ITC carried over from previous tax period to be enclosed) (iv) tax paid, if any (photocopy of challans (ii) Entry Interstate purchases ................... (iv) Entry if any under (photocopy of Present challansValue to be enclosed) (iii)75% Consignment transfers .................. (v) of tax net paid, tax liability the Net Compulsory (v) 75% net tax2005 liability the Net Present Value Compulsory (iv) Localof purchases from under registered dealers Payment Scheme Payment 2005 Total of b(i)Scheme to (a) Against taxb(v) invoices .................. Total of b(i) to7(a) b(v)& (b)tax Total ITC ofrestricted (b) Against Total ITC credit of 7(a)on & account (b) (c) Reverse of: invoice .................. Reverse credit on account of: B.(c) No. and date of TDS Certificates (Form VAT VII) 1. 2. 3. Total (v) Local purchases from compo B. No.dealers and date of unregistered TDS Certificates (Form VAT - VII) 1. 2. 3. Total sition and dealers ................... (vi) Others ................... (Attach separate statement if space is insufficient) Total paynents 12A & 12B /date of registration Particulars (Attach separate statement if space is insufficient) Total paynents 12A & 12B (ii) ITC admissible on capital goods Particulars (a) Gross sales (iii) ITC carried over sales from previous tax period (a) Gross Add: (b) Goods returned debited to accounts (iv) Entry tax paid, if any (photocopy of challans to be enclosed) Add: (b) Goods returned debited to accounts (c) Excise collection (if separately not credited to sales (v) 75% of net tax liability under the Net Present Valueaccount) Compulsory (c) Excise collection (if separately not credited to sales account) (d) Sales of capital goods Payment Scheme 2005 (d) Sales of to capital Total of b(i) b(v) goods (e) Other sales Total ITC of 7(a) &(if(b) Otheradjustment sales (f)(e)Other any), specify (c) Reverse credit on(ifaccount of: (f) Other any), specify Total (a toadjustment f) B. No. and date of TDS Certificates (Form VAT - VII) 1. 2. 3. Total Total (a f) (VAT/CST) Less: (g)toTax (g)returned Tax (VAT/CST) (h)Less: Goods in the prescribed manner within the prescribed time (h) Goods returned in theofprescribed manner within theinprescribed (i) Labour charges incase works contract (if included (a) above):time (Attach separate spacecontract is insufficient) Totalinpaynents 12A & 12B Labour chargesstatement incase ofifworks (if included (a) above): (j)(i)Other adjustments (if any), specify: Particulars (j) OtherTOTAL adjustments (if any),UNDER specify: THE ACT GROSS TURNOVER (a) Gross sales GROSS TOTAL TURNOVER UNDER THE Less: of exempted goods withinACT the State Add: (k) (b) Turnover Goods returned debited to accounts Less: (k) Turnover of exempted goods within the State (l)(c)Sales on collection which no tax is leviablenot (SEZ etc.): to sales account) Excise (if separately credited (l) Sales on which no tax is leviable (SEZ etc.): (m) of export/import or in the course of export/import outside the country covered by section 5(1), 5(2) and 5(3) o (d) Turnover Sales of capital goods (m) Turnover of export/import or in the course of export/import outside the country covered by section 5(1), 5(2) and 5(3) o (e)Interstates Other sales (n) sales: (n)Value Interstates sales: (if (f) Other adjustment any), transfers/consignment specify (o) of Interstate branch transfers: (o) Value of Interstate branch transfers/consignment transfers: Total (a to f) (p) Other deduction (if any, please specify): (p) Other (if any, please specify): Less: (g)deduction TaxTURNOVER (VAT/CST) (q) BALANCE (q)A. BALANCE TURNOVER 16. DETERMINATION OF OUTPUT TAXwithin SALES: (h) Goods returned in the prescribed manner the prescribed time 16. A. DETERMINATION OF OUTPUT TAX SALES: RATE OF TAX TURN (i) Labour charges incase of works contract (if included in (a) above): RATE OF TAX TUR 1% (j) Other adjustments (if any), specify: 1% 4% GROSS TOTAL TURNOVER UNDER THE ACT 4% 12.5% Less: (k) Turnover of exempted goods within the State 12.5% 20% (l) Sales on which no tax is leviable (SEZ etc.): 20% Others Others (m) Turnover of export/import or in the course of export/import outside the country covered by section 5(1), 5(2) and 5(3) o (n) Interstates sales: TOTAl TOTAl INFORMATION ABOUT SALES TAX INCENTIVES EXEMPTION/NPV DEFERMENT (if applicable) I certify that above particulars are true and correct to best of my knowledge and belief. I certify that above particulars are verified by me from books of account and same are true and correct. For ...................................................................................... ............. For ........................................................................................... ........ 318 SERIES I No. 18 OFFICIAL GAZETTE - GOVT. OF G A. Total turnover of sale received/receivable in respect of goods sold including value of goods transferred out of State otherwis Exempted Taxab (@ 1% (i) Imports from out of India. ................... (ii) Interstate purchases ................... (iii) Consignment transfers .................. (iv) Local purchases from registered dealers (a) Against tax invoices .................. (b) Against restricted tax invoice .................. (v) Local purchases from compo sition dealers and unregistered dealers ................... (vi) Others ................... /date of registration (ii) ITC admissible on capital goods (iii) ITC carried over from previous tax period (iv) Entry tax paid, if any (photocopy of challans to be enclosed) (v) 75% of net tax liability under the Net Present Value Compulsory CHARTERED Payment Scheme 2005 (Name of the dealer/person) (Signature) ACCOUNTANT (Name) Total of b(i) to b(v) (Proprietor/Partner) Total ITC of 7(a) & (b) ................................................................................... (c) Reverse credit on account of: B. No. and date of TDS Certificates (Form VAT - VII) 1. 2. 3. Total Membership No. (Attach separate statement if space is insufficient) Total paynents 12A & 12B Particulars ......................................................................... (a) Gross sales Name debited to accounts Address: Add: (b) Goods returned ........................................................................................ (c) Excise collection (if separately not credited to sales account) ...................................................................................... (d) Sales of capital goods ........................................................................................... ................ (e) Other sales (f) Other adjustment (if any), specify ........ Designation ........................................................................................... Total (a to f) ............... Less: (g) Tax (VAT/CST) ................................................................................. (h) Goods returned in the prescribed manner within the prescribed time (i) Labour charges incase of works contract (if included in (a) above): (j) Other adjustments (if any), specify: GROSS TOTAL TURNOVER UNDER THE ACT Less: (k) Turnover of exempted goods within the State (l) Sales on which no tax is leviable (SEZ etc.): (m) Turnover of export/import or in the course of export/import outside the (n) Interstates sales: (o) Value of Interstate branch transfers/consignment transfers: country covered by section 5(1), 5(2) and 5(3) o Place: .............................................................................................. Place: .............................................................................................. Date: ............................................................. Date: ............................................................. By order and in the name of the Governor of Goa. Shrikant M. Polle, Under Secretary (Fin-Exp.). Porvorim, 3rd August, 2006. GOVERNMENT PRINTING PRESS, PANAJI - GOA. Price : Rs. 14.00 䔀堀吀刀䄀伀刀䐀䤀一䄀刀夀