FORM XXIV-D Department of Commercial Taxes, Government of Uttar Pradesh [See Rule-45(10 A) of the UPVAT Rules, 2008] Return of Tax For casual traders

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To FORM XXIV-D [See Rule-45(10 A) of the UPVAT Rules, 2008] Return of Tax For casual traders The Assessing Authority Sector District Sir, I---------------------------------s/o,d/o,w/o-----------------------------(status) --------------------------------------- of M/s... hereby, submit the return of tax and furnish the particulars of business as follows : 1. Assessment year 2 0-2 0 2. Assessment period beginning from d d m m y y Ending on d d m m y y 3. Name / Address of the dealer - 4. Taxpayer's Identification Number [TIN] 5. Details of Bank Accounts S.N. Name & address of the branch Nature of A/c Account No. 6. Details of declaration Form XXXVIII / Form-C received from Department of Commercial Taxes Name of Form Received Used Lost/ Destroyed Surrendered no. Amount Covered No. Total No. Receipt no. & 1 2 3(a) 3(b) 4 5(a) 5(b) Form XXXVIII Form C Note: - Annex the detail information in annexures II & III 7. Details of Purchase [in Rs.] a- Vat Goods i. Purchase against tax invoice (annexure-i) - ii. Purchase from person other than registered dealer - iii. Purchase of exempted goods - iv. Purchase from Ex. U.P. - v. Any other purchase - - b- Non Vat Goods i. Purchase from registered dealers - ii. Purchase from person other than registered dealer - iii. Purchase from Ex. U.P. - iv Any other purchase - 8. Computation of tax on purchase Sl.No. Rate of tax Commodity Turnover of Purchase Tax Vat Goods i. 1% ii. 4% iii. 12.5% Additional Tax i. 0.5% ii. 1% Non Vat Goods i. ii. iii. Grand - 1 -

9. Details of Sale a- Vat Goods i. Sale of Taxable goods - ii Sale of exempted goods - iii. Any other sale - b- Non Vat Goods i. Sale of Taxable goods - 10. Computation of tax on sale Sl.No. Rate of tax Commodity Sale amount Tax Vat Goods i. 1% ii. 4% iii. 12.5% Additional tax i. 0.5% ii. 1% Non Vat Goods i. ii. iii. [Vat and Non Vat] Grand 11. Closing Stock Sl Description no. of Quantity / measure Value Total U.P. Goods Ex-U.P. U.P. Ex-U.P. Value Goods Goods Goods Goods 1 2 3(a) 3(b) 4(a) 4(b) 5 6 i.- iiiii- Etc. 12. Tax Payable i. Tax on purchase - ii. Tax on sale - - 13. RITC on Closing stock [as mentioned in 11(6)] 14. Detail of ITC i. ITC earned during the period of business ii. ITC reversed during the period of business iii. Admissible ITC during the period of business (i-ii) iv. Adjustment of ITC against tax payable 15. Net tax Tax Paid on goods of column 3(a) i. Total tax payable (serial no. 12) - ii ITC adjustment [14 (iv)] - iii Net tax - 16- Details of deposit of tax in Treasury/Bank S.N. of Sale Amount TC no. Name of the Bank Name and address of the Branch 1 2 3 4 5 6 7 i. ii. - 2 -

17 - Computation of Refund / demand S.N. Particulars Amount i. Total amount of tax payable ii. Tax deposited in bank iii. Balance tax payable / refundable DECLARATION I.S/o,D/o,W/o/ Status.[i.e. proprietor, director, partner as provided in rule-32(6)], do hereby declare and verify that, all the statements and figures given in this return are true and complete to the best of my knowledge and belief and nothing has been willfully omitted, suppressed or wrongly stated. - Name and Signature of partners/proprietor/karta Place - Status - Name of the dealer- Note:- 1-This Return must be signed by a person who is authorized under rule 32 (6) of Uttar Pradesh Value Added Tax Rules, 2008 2-if space provided in any table is insufficient the information may be submitted in prescribed format on separate sheet. - 3 -

(i) Name and address of purchasing dealer UPVAT XXIV-D Annexure - I.List of purchases made against tax invoice : (ii) TIN (iii) Assessment year - Tax period ending on d d m m y y y y (iv) Name and address of selling dealer 1 2 3 4 TIN Taxinvoice No. of Tax Description of commodity invoice Name Code Quantity / Measure Taxable value of goods Amount of tax charged. Total amount of taxinvoice Name and signature of authorised person - 4 -

S. N. Number of declaratio n (Form XXXVIII) Name & address of the selling dealer or consignor UPVAT - XXIV-D Annexure II Details of Declaration (Form XXXVIII) received from the Department of Commercial Taxes and used during the assessment year TIN Commodit y Tax/Sale invoice/ Quantity/ Measure/ Weight as per Form XXXVIII Quantity/ Measure/ Weight as per tax/sale invoice Amount as per Form XXXVIII Amount as per tax/sale invoice Difference between col. 9 &10 Reason for the difference as shown in col.11 (Attach proof ) Difference between col. 7 & 8 1 2 3 4 5 6 7 8 9 10 11 12 13 14 Reason for the difference in col. 13 (Attach proof ) Name and signature of authorised person S. N. Declaration No. Name & address of the selling dealer UPVAT - XXIV-D Details of declaration in Form C prescribed under The Central Sales Tax Act 1956 and used during the assessment period TIN of the selling dealer Commodity Tax/Sale invoice no. Quantity/ Measure/ Weight Amount of tax/sale invoice Assessment Year of purchase Annexure III 1 2 3 4 5 6 7 8 9 10 11 No. of declaration Form XXXVIII issued Total declaration used = Total Amount : Name and signature of authorised person - 5 -

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