Form VAT 10A [See rule 19] Annual Return

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1 Form VAT 10A [S rul 19] Annual Rturn Part A 1 Gnral Information 1.1 Nam of th dalr 1.2 Addrss (of th principal plac of businss)with Fax, tc. 1.3 Mobil numbr 1.4 Rgistration No. (TIN) 1.5 Status of th dalr [such as propritar / partnrship / compan / othrs spcif 1.6 Dtails of amndmnt mad in rgistration crtificat during th ar, if an. 1.7 Priod undr rturn (Financial Yar) 1.8 Natur of businss : tradr / manufacturr / importr / xportr / works contractor / lssor / othr (plas spcif) 1.9 List of books of accounts maintaind (in cas books of accounts maintaind in computr sstm, mntion th books of accounts gnratd b such sstm) 1.10 Particulars of (oprating) Bank Accounts Nam of Bank Branch Account No. IFSC of th Branch 1.11 Account of statutor forms obtaind from th Dpartmnt Nam of Form Opning Obtaind Usd Canclld Lost Balanc (in Rs.) for which forms utilizd 1.12 Dtails of survs conductd (othr than R.C. nquir), if an:

2 Authorit who conductd surv Dat of surv Rsults of surv Part B 2. Trading account Dtails Dtails A. Opning Stock (iii) First point taxabl (vii) Goods - of opning stock B. Purchass mad within stat (iii) First point taxabl (vii) Goods - A. Sals (i) Sals undr CST Act (ii) Sals undr RVAT Act (iii) Sals Rturn Nt Sals B. Closing stock (iii) First point taxabl (vii) Goods - of closing stock C. Gross loss C. Purchass mad

3 from outsid th stat (iii) First point taxabl (vii) Goods - purchass Lss: Purchas Discount, if an Lss: Purchas Rturn, if an. Nt Purchass D. Expnss (i) Dirct xpnss (ii) Manufacturing xpnss (iii) Othrs E. Gross profit 3. Statmnt of rcivd for sal on consignmnt/ stock transfr/dpot transfr from outsid th stat Commodit Balanc Opnin g Rcivd during th ar Sold during th ar Dispos d othrwis 4. Dtails of raw matrial and finishd (in cas of manufacturr)

4 Raw matrial Dtails Opning balanc Purchas during th ar Consumd in manufacturing Undr procss Disposd othrwis (plas spcifid dtails) Wastag in procss Finishd Dtails Opning balanc Manufacturd during th ar Sold during th ar Part C Disposd othrwis (plas spcifid dtails) 5. Othr information 5.1 Whthr all dclarations for all sals claimd at concssional rats as rquird undr th RVAT Act and Ruls rcivd, if not, giv dtails: S. No. Priod (Month/Quartr/Yar, as applicabl) Nam of purchasing dalr 5.2 Whthr all dclarations in Form VAT 36A for sals of rcivd from principal rquird undr th RVAT Act and Ruls rcivd, if not, giv dtails: S.No. Nam of principal, addrss with TIN Commodit sals Output tax 5.3 Whthr all dclarations for all sals claimd at concssional rats as rquird undr th CST Act and Ruls rcivd, if not, giv dtails S. No. Priod (Month/Quartr/ Yar, as applicabl) Nam of form (C, F, EI, EII, H, I, J) Nam of purchasing dalr

5 Vat invoic no. Dat To whom issud Nam of Tax Goods rturnd b documnt/ challan No. Dat Tax Part D 6. Sals rturn rgistr S. Dtails of sals out of which sals No rturns is mad. Dtails of sals rturns DECLARATION I, do solmnl dclar that to th bst of m knowldg and blif th information givn on this form is tru and corrct. Nam Datd Signatur and status

THE KERALA VALUE ADDED TAX RULES, 2005 FORM No. 10 B

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