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

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1 THE KERALA VALUE ADDED TAX RULES, 2005 FORM o. 10 B MOTHL/AUAL RETUR FOR WORKS COTRACTORS (Rgular Assssmnt) [S Rul 21 ] I. DEALER DETAILS am of th Dalr: Status of th Dalr... Addrss ( Principal plac of Businss) Dtails of Branchs Rgistration Crtificat o.. Idntification o.. CST Rgistration o ar Rturn Priod (Spcify Month/ar) Offic Officr.. atur of Tlphon.. Fax.... E- mail Rturn furnishd for principl plac of businss/branch at.(strik out whichvr is not applicabl) Gross amount of rcivabl Total assssabl as pr this rturn II.TUROVER DETAILS A. TRASFER VALUE ( with output tax liability) Amt paid to sub or Exmption claimd Amt rlatabl to I Schdul Amt rlatabl to labour/ srvics abl Turnovr (3-4) Rat of Du Entry paid on inputs Balanc du (1) (2)` (3) (4) (5) (6) (7) (8) (9) a. whr transfr is OT in th form of u/s 6 (1) () RUSHABH IFOSOFT LTD.

2 b. Works whr transfr is in th form of undr sction 6 (1) (d). i. I schdld ii III schduld iii. V Schduld. B. PURCHASES (with or without input tax crdit and spcial rbating ) Dscription of purchasd for us in. Valu of Intrstat / Import purchass including IV schduld during th month Valu of local purchass from rgistrd dalrs during th month othr than IV schduld Input tax paid thron and ligibl for stoff Valu of purchass from unrgistrd dalrs for us in taxabl Spcial rbating u/s. 12 qual to tax du thron on th purchas valu t input tax ligibl for stoff and crdit u/s. 11 (4-6) (1) (2) (3) (4) (5) (6) (7) I schduld II schduld III schduld IV schduld RUSHABH IFOSOFT LTD.

3 V schduld III. TDS DETAILS am and Addrss of th Awardr with RC o & TI Work ordr o and dat atur of Contract ( whthr civil or othr ) Gross amount of Amount on which tax dductd at sourc by th awardr Amount of tax dductd at sourc IV. TAX PAMET DETAILS [ VAT payabl = E-D] D TAX AT CREDIT:. E OUT PUT TAX:.. 1 Excss input tax at crdit carrid ovr from 1. du / collctd as pr sals invoic dducting Entry paid prvious month. (A) 2. Input tax paid for th currnt month dducting spcial rbat (B) 2. Rvrs du as pr statmnt 3 Input tax on Capital 3 Othrs.. 4 TDS Paid 4 Total output tax du (1+2+3) 5 Othrs.. 6 Total tax ligibl for st off ( ) ET TAX PAABLE (VAT) = (E-D). ET TAX CREDITABLE = (D-E) Rs. (In words) Rups Prio d Ta x pai d Intr st Paid Pnalt y paid Chqu/DD/Ch lan numbr Dat Ban k Branc h Balan c Balanc Amou nt Balan c Pnalt y ECLOSURES ATTACHED RUSHABH IFOSOFT LTD.

4 1. Invoic dtails spcifying first and last srial numbr usd. 2. Statmnt showing dtails of Local Purchass mad from rgistrd dalrs with nam addrss RC o / TI, dscription of, Bill no., dat, quantity, valu and tax collctd. 3. Statmnt showing dtails of local purchas mad from unrgistrd dalrs showing particulars as spcifid against Itm 2 abov. 4. Statmnt showing dtails of purchasd intrstat with or without C form with particulars as spcifid against Itm 2 abov. 5. Statmnt showing dtaild particulars of importd from othr countris. 6. Crdit not dtails 7. Dbit not dtails. RUSHABH IFOSOFT LTD.

5 SELF ASSESSMET DECLARATIO 1. I/ W dclar that I/W hav compard th abov particulars with th rcords and books of my/ Our businss and th sam ar corrctly statd. 2. I/ W crtify that th nt tax du has bn paid at th dsignatd bank (Chalan nclosd). Plac: Dat : Signatur am: Dat: Dat: Status: (Whthr Propritor, Managr, Partnr, Dirctor, scrtary tc. with sal) RUSHABH IFOSOFT LTD.