Part I (Details of turnover/transfers) Part II (Output tax) Description of sale

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Form RT III [See Rule 9()] Annual Return under section 4 of the Bihar Value Added Act, 005 Name and style of the dealer: TIN: Period of Return (Year): Part I (Details of turnover/transfers) Gross Turnover (including value of debit notes): Deductions: Sales in the course of inter-state trade and commerce (i) Value of sales outside the state under section 4 of the Central Sales Act, 956 (ii) Value of stock transfer to outside the state 4 Value of sales return of goods within 6 months of sale under the Act 5 Export sales 6 Amount of other allowable deductions [As per Box A] 7 of deductions [++4+5+6] 8 able turnover [-7] Rate wise bifurcation of output tax: Part II (Output tax) 9 Description of sale Sale of Motor Spirit by an Oil Company to a (i)(a) dealer/person other than an Oil Company Sale of HSD Oil and Light Diesel Oil by an Oil (i)(b) Company to a dealer/person other than an Oil Company Sale of ATF by an Oil Company to a dealer/person (i)(c) other than an Oil Company Sale of Natural Gas by an Oil Company to a (i)(d) dealer/person other than an Oil Company (i)(e) Sale of Country Liquor/Spiced Country Liquor Sale of Potable Spirit, wine or liquor whether (i)(f) imported from other countries or manufactured in India Sale of other schedule IV goods (except sl. no. to 6 (i)(g) of schedule IV) [Details to be furnished as per Box H] (i)(h) Others specify Goods specified in Schedule II (goods wise sales to (ii) Goods specified in Schedule IIIA (goods wise sales to (iii)(a) Goods specified in Schedule III (goods wise sales to (iii)(b) Rate of tax % 5% 5% Turnover of sale payable

Description of sale Rate of 9 tax Goods specified in Schedule III (goods wise sales to (iii)(c) 6% (iv)(a) Goods not specified in any of the schedule.50% (iv)(b) Goods not specified in any of the schedule 4.50% (iv)(c) Goods not specified in any of the schedule 5% sales of goods u/s (v) ()={(ii)+(iii)(a)+(iii)(b)+(iii)(c)+(iv)(a)+(iv)(b)+(iv)(c)} Sale of such goods in respect of which tax on MRP (vi) has been paid by the dealer filing this return in terms of section 5(5)(a) (vii) Turnover liable to Purchase tax Excess of reverse credit [4-] if 4 is greater than (viii) Excess tax realised ¼ix½ = Value of Sales Return x (Current rate of tax-rate of tax at the time of such sales) Output tax [(i)(a)+(i)(b)+ (i)(c)+(i)(d)+ 0 (i)(e)+(i)(f)+(i)(g)+(i)(h)+ (v)+(vi)+(vii)+(viii)+(ix)] Turnover of sale payable Part III (Details of purchases/receipts and stock) Other taxable goods Value of Purchase/receipts/stocks during the year Goods notified u/s 5(5) Schedule IV goods Schedule I goods % 5% (Sch-IIIA) 5% (Sch-III) 6% (Sch-III).5% 4.5% 5% (i) Purchases from within the state (ii) Purchase from outside the state (iii Stock transfer receipts ) from within the state (iv) Stock transfers receipts from outside the state (v) Value of opening stock (vi) Value of closing stock of Purchase/receipts

Part IV (Input Credit and payable) Input tax (including purchase tax in case of manufacturers) paid by the dealer on purchases during the year 4 Reverse Credit [As per Box C] 5 Input tax credit on account of capital goods under rule 6 Unadjusted Input tax credit brought forward from previous year Input tax credit for the year 7 [(-4)+5+6] Rebate under section 4() [to be claimed only if 0 is greater than 8 7 and to be computed on 0-7] 9 Surcharge payable under section A 0 Additional payable under section AA of output tax, surcharge and additional tax (net of rebate)[(0-8)+9+0]- (i) VAT payable for the year [-7] if is greater than 7 (ii) Interest payable (iii) tax payable for the year [(i)+(ii)] Unadjusted input tax credit [7-] if 7 is greater than 4(i) Central Sales admitted Adjustment of unadjusted input tax credit from liability under CST 4(ii) Act, 956 4(iii) Central Sales payable, if any [4(i)-4(ii)] Refund of unadjusted input tax credit claimed under second proviso 5 to section 6(), if any 6(i) Input tax credit carried forward [-{4(ii)+5}] Vat paid to the extent of VAT payable in the month/months of the 6(ii) year 6(iii) input tax credit carried forward [6(i)+6(ii)] Value Part V (Payment Details) 7 Payment details: ( paid under VAT and Entry tax shall be furnished as per box I) (i) By way of entry tax set-off, if any (ii) By way of purchase tax paid (in case of a manufacturer only) (iii) By way of advance tax, if any, paid under section (7) By way of advance deduction under section 40 or 4 (attach certificate in (iv) form C-II) (v) DD/cheque (specify number, dates of payments and name of issuing bank) (vi) Cash By way of adjustment on account of excess paid during any earlier month of (vii) the same financial year (give details of computation of such excess and the mode of its payment) (viii) Any other mode (specify mode) (ix) Excess tax paid during the year I declare that the statements furnished in this return are based upon true and complete accounts and tax payable as indicated in column has been paid by Treasury challan or in the mode

indicate in column 7 and that the challans and/or deduction certificates in form C-II in respect of the said payments/deductions are enclosed herewith by way of evidence. I declare further that the statements made and particular furnished in and with this return in my capacity as a Sales tax Registered dealer are correct and complete to the best of my knowledge and belief, and that I am competent to sign and submit this return. Date: Place: Signature of authorised person Status in relation to dealer Box A (other allowable deductions) Deduction on account of: (i) Sales of goods mentioned in Schedule I of the Act Sale of Petrol, Diesel, ATF and Natural Gas by an Oil Company to another Oil Company (a list of different goods to be annexed to this return (ii) separately alongwith their respective sales values) [Details of goods sold to different companies to be submitted as per Box D] (iii) Value of stock transfers within the state of Bihar (iv) Amount of labour charges and other charges in case of a works contract Sales of goods on which tax has been paid on MRP at the time of their (v) purchase in terms of section 5(5) Sale of goods on which tax has been paid on the first point of sale u/s (vi) () (b) of the Act (a list of different goods to be annexed to this return separately alongwith their respective sales value) (vii) Sales to organisations specified in Schedule V. [(i)+(ii)+(iii)+(iv)+(v)+(vi)+(vii)] {to be taken to line 6 of the return.} Value Box B Name of goods Rate of tax Turnover of sale Payable Petrol Deisel ATF Natural Gas Box C (Reverse credit) Reverse Credit on account of: Value Value of Original Input-Output ratio ( K as per rule 5) of the (i) previous year in case of a manufacturing dealer Value of Revised Input-Output ratio (Revised K as per rule 6) of (ii) the current year in case of a manufacturing dealer (iii) Intra-state stock transfers (iv) Inter-state stock transfers (v) Value of purchase return by the dealer filing this return (vi) Transfer of the right to use goods, gifts or self-consumption (vii) Sale of goods specified in Schedule IV (viii) Sale of goods specified in Schedule I (ix) Value of goods stolen, lost, or destroyed, if any (x) Goods sold at a price lower than the corresponding purchase price (xi) Reverse Credit [to be taken to line 4 of the return]

Sl. No. Box D [Dealer wise sale of MS, HSD, Natural Gas and ATF at Box A(ii) above] Name and style of registered dealer to whom sale is made TIN MS Value of Sales of Natural HSD ATF Gas Box E (Details of statutory Forms/Declarations/Certificates submitted in support of claims) Sl. No. Type of form Number of forms Period of forms Value of forms C-II D-III D-IV 4 D-V 5 D-XI 6 C 7 EI/EII 8 F 9 H 0 I J Sl. No. Box F [Details of goods wise sales mentioned in line 9(ii) to 9(iii) above] Description of goods Rate of tax Name of schedule Entry No. of Schedule Part of schedule, if any Entry No. Turnover of sale Box G (Details of Purchases by Works Contractors and Manufacturing Dealers) Materials Raw Materials Packing Materials Plant & Machinery From within the State From outside the State

Sl. No. Name of Schedule- IV goods (except Sl.No. to 6 of Schedule- IV) Box H [Details of goods wise sales mentioned in line 9(i) (g) above] Rate of sale of goods on which tax is leviable on first point of sale only Value of product wise sales and tax payable sale of goods on which tax is leviable at each point of sale tax on column - 4 tax on column - 5 Adjustment of tax under Rule 0A tax payable (6+7-8) 4 5 6 7 8 9 4 Box I [Box[Details of monthwise payment of tax and interest under VAT, CST and Entry ] Sl. No. Name of Month Challan No. 4 Name of the Act (VAT/ CST/ET) Output tax during month if any I declare that the statements furnished in this return and the various Boxes there to are based upon true and complete accounts. I declare further that the statements made and particular furnished in and with this return in my capacity as a Sales Registered dealer are correct and complete to the best of my knowledge and belief, and that I am competent to sign and submit this return. Input tax during month if any payable in month if any Amount of tax paid Amount of interest paid Date of payment Date: Place: Signature of authorised person" Status in relation to dealer