D D M M Y Y Ending on. Taxpayer's Identification Number [TIN] Entitlement Certificate No.

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FORM - XXVI [See Rule-45(7) of the UPVAT Rules, 2008 and Section 24 (7) & 26 of the UPVAT Act, 2008] Acknowledgement and self assessment of Annual Tax under Section 26 of the UPVAT Act, 2008 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] Entitlement Certificate No. 5- Gross turnover of sales 6- Net turnover of sales 7- Gross turnover of purchase 8- Net turnover of purchase 9- Tax payable on net sales 10- Tax payable on net purchase 11- Taxable turnover of sale in case of transfer of right to use of 12- Tax payable in case of transfer of right to use of 13- tax payable (9+ 10+12) 14- ITC brought from last year 15- ITC earned during the year 16- ITC (14+15) 17- ITC adjusted against UPVAT 18- ITC adjusted against CST 19- ITC adjusted against UPTT 20- (17+18+19) 21- Net tax payable 22- Tax paid by deposit in Treasury 23- By adjustment from refund 24- TDS (Certificate XXXI) 25- deposit (22+23+24)

26- Refund/Demand 27- TDS as contractee Date - Place - Status - Name and Signature of partners/ proprietor/ karta etc. Name of the dealer- Receipt No. and date Name and designation of official of the DCT To FORM - XXVI [See Rule-45(7) of the UPVAT Rules, 2008 and Section 24 (7) & 26 of the UPVAT Act, 2008] The Assessing Authority Annual Tax Return Sir, Corporate circle/sector District I-----------------------------------------------s/o,d/o,w/o-----------------------------(status)- ------------------------------ of M/s...... hereby, submit the Annual Tax Return 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. Entitlement certificate no./date / d d m m y y

6. Details of Bank Accounts S. N. i ii iii Name & address of the branch Nature of A/c Account No. 7. Details of declaration or certificate received from Department of Commercial Taxes- Name of Form No. No. No. Amount Covered No. No. No. Opening Balance Received Used Lost/ Destroye d Surrende red Closing Balance 1 2 3 4 5(a) 5(b) 6 7 8 i ii iii iv v vi vii viii ix x xi xii XXI XXXI XXXVIII C F H EI EII D I J Any other Form Note: - Annex the detail information in annexures (I - VII) whichever applicable 8. Inventories of Opening & Closing Stock, Purchase & Otherwise Receipts, Manufacturing and Sales of Goods in Annexure (VIII to X)

9(a). Details of purchase (other than works contract and transfer of right to use of any ) Particular of purchase i- From registered dealer in UP ii- iv- From person other than registered dealer in UP In the course of import In the course of export v- In the course of movement of from one state to another by transfer of documents of title vi- vii- v ix- ix- In the course of inter-state trade or commerce In Ex-UP principal's A/C In UP principal's A/C Capital Any other purchase for any purpose Purchase turnover of vat Purchase turnover of non vat Purchase turnover Exempt turn over Note: Reason to be given if the details of the purchases given here defer from those given in monthly and quarterly return 9(b). Computation of Tax on the than registered dealer turn over of purchase made from person other Name of commodity Purchase turnover Rate of tax i- ii- iv- v- etc Amount of tax

10(a). Details of sales (other than works contract and transfer of right to use of any ) Particular of sales Turnover of Vat i- Gross sale ii- iii(a) iii(b) iii(c) Gross central sale Gross sales within the State(i-ii) To registered dealer in UP against form D To registered dealer without form D To person other than registered dealer in UP Turn over of non vat Turn over of exempt turn over Note: Reason to be given if the details of the sales given here defer from those given in monthly and quarterly return 10(b). Computation of Tax on the turn over of sales (other than works contract and transfer of right to use of any ) Name commodity i- ii- iv- v- vi- etc. 11- tax payable i ii iii Particulars Amount iv On the turn over of purchase On the turnover of sale Tax on transfer of right to use any Amount of tax deducted at source v Tax under CST Act 1956 vi vii of Type of turnover Turnover of sales Rate tax Tax payable in case of works contract as per form XXVI B Tax deposited by selling / purchasing commission agent for which Form V & VI has been obtained. of Amount tax of

viii ix which Form V & VI has been obtained. Any other tax tax payable 12- Details of ITC Particular Amount i- ITC brought forward from the previous assessment year ii- iv- ITC earned during the assessment year (i+ii) ITC adjusted against tax payable under CST Act for the current year v- ITC adjusted against tax payable under UPVAT Act for the current year vi- vii- v ix- ITC adjusted against dues in UPTT Act ITC adjusted against any other dues ITC refunded under section 41 if any ITC refunded under section15(other than that of section 41) x- (iv+v+vi+vii+viii+ix) xi- ITC in balance ( x) xii- ITC carried forward for the next year 13- Information regarding search & seizure:- 1- Detail of search, inspection and seizure in this Year, preceding Year and succeeding Year (If any) which are related to this year. S. N. i ii -- Date of search / inspection / seizure Name of Authority, who has conducted search & seizure Result 2- Details of penalty/provisional assessment etc. and result in appeal/writ S. N. Date of order Section in which order is passed Amount of penalty /tax Result in Appeals/writ, if pending write appeal/writ no. I st Appeal Tribunal Settlement Commission High Court/ Supreme Court i ii

14(a)- Details of deposit along with return of tax period in Treasury/Bank Month Amount TC no. Date Name of the Bank Name and address of the Branch 1 2 3 4 5 6 7 1- April 2- May 3- June 4- July 5- Aug 6- Sept 7- Octo 8- Nov 9- Dec 10- Jan 11- Feb 12- Mar 14(b) - Details of adjustments in Form XXXIII-A Month in which adjusted Amount Year from which adjusted Order no. and date in Form XXXIII-A 14(c) - Details of TDS in Form XXXI Name and address of the Contractee Contract no. and date Amount of TDS Printed No. of Form XXXI 15 - Computation of Net tax payable Particulars Amount 1- amount of tax payable 2- Adjustment of ITC against tax payable 3- Net tax payable(1-2) 4- Tax deposited in bank 5- Tax deposited by way adjustment

6- Tax deposited by way TDS 7- ( 4+5+6) 8- Balance tax payable(3-7) DECLARATION I.S/o,D/o,W/o/ S tatus. [i.e. proprietor, director, partner etc. 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. Date - Place - Status - Name and Signature of partners/ proprietor/ karta etc. Name of the dealer- Note:- 1-This Return must be signed by a person who is authorized under rule 32 (6) of Uttar Pradesh Added Tax Rules, 2008 2- if space provided in any table is insufficient the information may be submitted in prescribed format on separate sheet. UPVAT - XXVI Detail of Transport Memo in Form XXI received from the Department of Commercial Taxes and used in the assessment year Form No. Name & address of Consignee TIN of consignee Description of Bill/ Challan No. Date Quantity/Measure/ Weight Amount

UPVAT - XXVI Details of Declaration (Form XXXVIII) received from the Department of Commercial Taxes and used during the assessment year S. N. Number of declaration (Form XXXVIII) Name & address of the selling dealer or consignor TIN Commodity Tax/Sale invoice/ Date Quantity/ Measure/ Weight as per Form XXXVIII Amount as per Form XXXVIII Amount as per tax/sale invoice Reason for the difference if any (Attach proof ) 1 2 3 4 5 6 7 8 9 10 UPVAT - XXVI Details of declaration in Form C prescribed under The Central Sales Tax Act 1956 and used during assessment year Declaration No. Name & address of the selling dealer TIN of the selling dealer Commodity Tax/Sale invoice no. and date Quantity/ Measure/ Weight Amount of tax/sale invoice Assessment Year of purchase S. no. of declaration Form XXXVIII issued Reason of difference if any 1 2 3 4 5 6 7 8 9 10 11 declaration used = Amount

UPVAT - XXVI Details of Form EI prescribed under the Central Sales Tax Act, 1956 used during assessment year Form No. Name & address (with state) of the purchasing dealer TIN of the purchasing dealer Place and State in which movement of commenced Place and State to which the have been consigned Tax/Sale invoice no. and date Description of Quantity/ measure of GR/RR or other documents of other means of transport Form C received from purchasing dealer Name of the State issuing Form C 1 2 3 4 5 6 7 8 9 10 11 12 13 certificate used - == Amount UPVAT XXVI Details of Form E-II prescribed under the Central Sales Tax Act, 1956 and used during assessment year Form No. Name & address (with state) affecting a sale by transfer of the document of title to the Name & address (with state) of the purchasing dealer TIN of the purchasing dealer Name of the place and state in which movement commenced Name of the place and state to which the have been consigned Tax/Sale invoice no. and date Description of Quantity/ measure of GR/RR or other document of other means of transport Declaration in Form C received from the purchasing dealer Name of the State of issuing Form C 1 2 3 4 5 6 7 8 9 10 11 12 13 declaration used - == Amount

UPVAT - XXVI Details of Certificate in Form H prescribed under the Central Sales Tax Act, 1956 and used during assessment year Certificate No. Name & address of the selling dealer order no. and date of foreign buyer TIN of the selling dealer Description of Tax/Sale invoice no. and date Quantity/ Measure/ Weight Amount of tax/sale invoice in Rs. /foreign currency Name of the airline /ship /railway / vehicle or other means of transport through which the export has taken place No. and date of air consignment note/bill of lading/railway receipt or vehicle record or postal receipt or any other document in proof of export of across the customs frontier of India 1 2 3 4 5 6 7 8 9 10 11 certificates used - == Amount UPVAT - XXVI Details of declaration Form "F" used during assessment year Declaration No. Name & address of consignor dealer TIN of consignor and its effective date Transfer invoice/ date Description of Quantity/ Measure/Weight Amount/estimated amount Name of airline/railway/ vehicle or other means of transport through which have been received No. and date of air consignment note/ railway receipt or vehicle record or postal receipt or any other document in proof of receipt of 1 2 3 4 5 6 7 8 9 10

S. N. Opening Stock By Purchase UPVAT - XXVI Tally of the in trading Received By Stock Transfer or Otherwise Sale/consumption in manufacturing/ processing/packing Disposal otherwise Closing stock Name of the Commodity According to rate of tax 1 2 3 4 5 6 7 8 9 10 UPVAT - XXVI Quantitative tally of the in manufacturing/processing/packing Opening Stock By Purchase Received Name of the Commodity According to rate of tax Quantity/ Measure Quantity/Measure S. N. By Stock Transfer or Otherwise Sale/consumption in manufacturing/ processing/packing Disposal otherwise Closing stock Quantity/ Measure Quantity/Measure Quantity/Measure Quantity/Measure Quantity/Measure 1 2 3 4 5 6 7 8 9 1 0 11 12 13 14 15 16

1-2- etc UPVAT XXVI Inventories of the closing stock (in same form and condition) Name of the Commodity According to rate of tax of the commodity in column 2 1 2 3 UPVAT - XXVI Inventories of the closing stock (finished / semi finished / waste / by product etc.) for manufacturer 1-2- etc Name of the commodity Quantity/ Measure of the Commodity in Stock Amount 1 2 3 4 UPVAT - XXVI List of Certificate in Form 'D', received from purchasing dealer, for claiming reduction or exemption from the rate of tax Name and address of the purchasing dealer TIN and date of validity Sale invoice no. and date Description of 1 2 3 4 5 6 7 8 9 10 11 Measure/ Quantity Sale amount in Rs. Rate of tax charged Amount of tax Amount Printed No. Of Form 'D'

Name and address of the dealer to whom have been sold TIN of the dealer UPVAT XXVI List of sales return Description of the Tax / Sale invoice and Date Quantity/Measure of return Amount of return Amount of tax in respect of return Date of receipt of returned 1 2 3 4 5 6 7 8 9 UPVAT - XXVI Computation of ITC in case of taxable other than non vat and capital, purchased within UP and sold in same form and condition Name of the Commodity according to rate of tax Purchased from registered dealer against tax invoice of Tax paid or payable Purchased from person other than registered dealer against purchase invoice of Tax paid to Treasury input tax credit [3(b)+4(b)] 1 2 3(a) 3(b) 4(a) 4(b) 3 Note: - If space provided is not sufficient the information is to be submitted in the above format separately

UPVAT - XXVI Computation of ITC in case of taxable other than non vat and capital, purchased within UP and used in manufacturing/processing/packing of vat S. N. Name of used in manufacturing/p acking/ processing of in col.2 Measure / Quantity Purchased from registered dealer against tax invoice of Tax paid or payable to registered dealer Purchased from person other than registered dealer against purchase invoice Measure / Quantity of Tax paid to Treasury input tax credit 1 2 3(a) 3(b) 3(c) 3(d) 3(e) 3(f) 4 3(c)+3(f)) UPVAT - XXVI Computation of RITC where taxable other than non vat and capital are disposed of otherwise than by way of sale Goods disposed of otherwise than by way of sale Name Purchase value exclusive of tax Rate of tax payable under the Act Amount of admissible ITC Amount of ITC claimed Amount of reverse input tax credit 1 2(a) 2(b) 3 4 5 6 (5-4)

UPVAT - XXVI Computation of RITC where manufactured/processed/packed taxable other than non vat and capital are disposed of otherwise than by way of sale Name of the manufactured/processed/ packed vat Goods used in manufacturing/ processing/ packing of mentioned in col.2 Name Quantity/Mea sure Purchase value exclusive of tax Rate of tax payable under the Act on the (col. 3) Admissible ITC Amount of ITC claimed Amount of reverse input tax credit 1 2 3(a) 3(b) 3(c) 4 5 6 7 1-2- 3- (6-5) Description of UPVAT - XXVI ITC on capital (only in case of manufacturer) Quantity/ Purchase Measure excluding tax Amount of tax paid to Registered dealer Treasury Amount of input tax on capital ITC on capital Amount of installment 1 2 3a 3b 4a 4b 5a 5b 5b

Description of UPVAT - XXVI RITC on capital (only in case of manufacturer) Purchase of capital Quantity/ Measure excluding tax Amount of tax paid to Registered dealer Treasury Quantity/ Disposal of capital otherwise than in capital Measure excluding tax Input tax Amount of RITC Amount of installment 1 2 3a 3b 4a 4b 5a 5b 5c 6b 5b Tot al UPVAT - XXVI Computation of ITC earned during the assessment year S. N. Particular Amount 1 2 3 1- Amount of ITC as per Annexure XIII 2- Amount of ITC as per Annexure XIV 3- Installments of ITC on the stock held in the opening stock on the date of commencement of the Act 4- Installments of ITC on the stock held in the opening stock on the date when the dealer becomes liable to tax after the commencement of the Act 5- Installments of ITC on the closing stock on the date on which period of composition under section 6 terminates 6- Installment of ITC in case of capital if any 7- Any other ITC 8- ITC (1+2+3+4+5+6+7) 9- Amount of RITC as per Annexure XVI 10- Amount of RITC as per Annexure XVII

11- Amount of RITC on the closing stock on the date of discontinuance of business 12- RITC on capital 13- Any other RITC 14- RITC (9+10+11+12+13) 15- ITC earned(8-14) UPVAT XXVI-A [See Rule-45(7) of the UPVAT Rules, 2008 and Section 24 (7) & 26 of the UPVAT Act, 2008] Acknowledgement and self assessment of Annual Tax for traders exclusively dealing purchase and sale within the UP 1- Assessment Year 2 0-2 0 2- Assessment Period begins 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- Gross turnover of sales 6- Net turnover of sales 7- Gross turnover of purchase 8- Net turnover of purchase 9- Tax payable on net sales 10- Tax payable on net purchase 11- tax payable (9+ 10) 12- ITC brought from last year 13- ITC earned during the year 14- ITC (12+13) 15- ITC adjusted against UPVAT 16- ITC adjusted against UPTT 17- (15+16) 18- Net tax payable 19- Tax paid by deposit 20- By adjustment from refund

21- deposit (19+20) 22- Refund/Demand Name and signature of partner /proprietor/karta etc Name & style of the dealer (status) TIN... Name and signature of the official Receipt no &date ------------------ UPVAT XXVI-A [See Rule-45(7) of the UPVAT Rules, 2008 and Section 24 (7) & 26 of the UPVAT Act, 2008] Annual Tax Return for Traders dealing exclusively in purchase and sale of within U.P. To Sir, Assessing Authority sector District I-------------------------s/o,d/o,w/o-----------------------------(status)----------------------- of M/s......... hereby, submit Annual Tax Return and furnish the particulars of business as follows: 1. Assessment year 2 0-2 0 2. Assessment period begins 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. Constitution of dealer 6. Details of Bank Accounts

Name & address of the branch Nature of A/c Account No. i ii iii 7. Profit & Loss account and balance sheet (attach) 8. Tally of in trading (annexure I) 9(a). Details of purchase Particular of purchase Vat (in Rs.) Non (in Rs.) vat Exempt (in Rs.) (in Rs.) i- from registered dealer in UP ii- from person other than registered dealer in UP any other purchase for any purpose Note: - Reason to be given if the details of purchases given here differ from those given in monthly and quarterly return 9(b). Details of sales Particular of sales Vat (in Rs). Non vat (in Rs.) Exempt (in Rs.) (in Rs.) i- To registered dealer in UP ii- to person other than registered dealer in UP any other sale in UP Note: - Reason to be given if the details of sales given here differ from those given in monthly and quarterly return 10(a). Computation of tax payable on purchase from person other than registered dealer Name commodity i- i- of Purchase turnover rate of tax amount of tax

iv- v- 10(b). Computation of Taxable sale and tax payable on sale Name of commodity Turnover of sales of Non-vat Turn over of sales of Vat rate of tax amount of tax i- ii- iv- v- vi- etc. 11- Details of ITC Particular Amount i- ITC brought forward ii- iv- ITC earned during assessment year total (i + ii) ITC adjusted against tax payable in UPVAT for current year v- ITC adjusted against dues in UPTT vi- ITC adjusted against any other dues vii- ITC refunded under section15(other than section 41) viii ix- (iv+ v + vi + vii) ITC in balance(viii) x- ITC carried forward for next year 12- Information regarding search & seizure:- 1- Detail of search, inspection and seizure in this Year, preceding Year and succeeding Year (If any) which are related to this year. S. N. I Ii -- Date of search / inspection / seizure Name of Authority, who has conducted search & seizure Result

2- Details of penalty/provisional assessment etc. and result in appeal/writ S. N. I Ii -- Date of order Section in Amount which order is passed of penalty /tax Result in Appeals/writ, if pending write appeal/writ no. I st Appe al Tribu nal Settlement Commission 13(a)-Details of deposit along with return of tax period in Treasury/bank High Court/ Supreme Court i ii iii iv v vi Month Amount in Rs. TC no. vii viii ix x xi xii April May June July August September October November December January February March Date Name of the bank address of the branch 13(b) - Detail of adjustments in Form XXXIII-A i- Month in which adjusted Amount Year from which adjusted ii- 14- tax paid serial no. Deposit in Treasury/bank Deposit by adjustment (2+3) 1 2 3 4

15- Computation of net tax payable Tax payable ITC adjusted net payable Tax deposited /adjusted Demand/Refund 2 3 4 5 6 Annexure:- (1) Annexure I to IV (2) Compulsory Audit Report under section 21(17) if turnover is more than one crore (3) List purchases from registered dealer in the format annexure A attached to form XXIV, if has not submitted along with return of tax period ot there is variation in the purchase (4) Balance sheet and profit loss account DECLARATION I. S/o, D/o, W/o/ Status. [i.e. proprietor, director, partner etc. as provided in rule- 32(6)], do hereby declare and verify that, to the best of my knowledge and belief all the statements and figures given in this return are true and complete and nothing has been willfully omitted or wrongly stated. Date - Name and Signature of partners/proprietor/karta etc. 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 Added Tax Rules, 2008. 2- If space provided in any format or table is not sufficient the relevant information may be submitted in same format on separate sheet.

Opening Stock By Purchase UPVAT - XXVI-A Tally of in trading Received Otherwise Sale S. N. Name of the Commodity According to rate of tax Disposal otherwise Closing stock 1 2 3 4 5 6 7 8 9 10 UPVAT - XXVI-A Computation of ITC in case of taxable other non vat and capital, purchased within the UP and sold in same form and condition Name of the commodity according to rate of tax purchased from registered dealer against tax invoice value of tax paid or payable purchased from person other than registered dealer against purchase invoice value of tax paid to Treasury input tax credit 1 2 3 4 5 6 7 (4+6)

UPVAT - XXVI-A Computation of RITC where taxable other than non vat and capital are disposed of otherwise than by way of sale Name of the Purchase value of (exclusive of tax) disposed of otherwise than by way of sale of disposed of otherwise than by way of sale Rate of tax payable under the Act Amount of admissible ITC Amount of ITC claimed Amount of reverse input tax credit(7-6) i 1 2 3 4 5 6 7 8 UPVAT - XXVI-A Computation of ITC earned during the assessment year Particular ITC 1 2 3 1- Amount of ITC on purchase during the assessment year 2- Installments of ITC on the stock held in the opening stock on the date of commencement of the Act 3- Installments of ITC on the stock held in the opening stock on the date when the dealer becomes liable to tax after the commencement of the Act 4- Installments of ITC on the stock held in the closing stock on the date of end of compounding scheme under section 6 of the Act 5- any other ITC 6- ITC (1+2+3+4+5) 7- RITC 8- RITC in case of discontinuance of business 9- any other RITC 10- RITC earned(7+8+9) 11- ITC earned(6-10)

UPVT- XXVI-B [See Rule-45(7) of the UPVAT Rules, 2008 and Section 24 (7) & 26 of the UPVAT Act, 2008] Acknowledgement and self assessment of Annual Tax for works contractors/transfer of right to use 1- Assessment Year 2 0-2 0 2- Assessment Period begins 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- Gross turnover of purchase 6- Net turnover of purchase 7- Tax payable on net purchase 8- Taxable turnover of sale 9- Tax payable 10- amount received or receivable in case of dealer opting composition scheme 11- Amount of composition money in case of dealer opting composition scheme 12- tax payable (7+9+ 11) 13- ITC brought from last year 14- ITC earned during the assessment year 15- ITC (13+14) 16- ITC adjusted against UPVAT 17- ITC adjusted against CST 18- ITC adjusted against UPTT 19- (18+19+20) 20- Net tax payable 21- Tax paid by deposit 22- By adjustment from refund 23- TDS (Certificate XXXI) 24- deposit (21+22+23) 25- Refund/Demand 26- TDS as contractee

Name and signature of partner /proprietor/karta etc Name & style of the dealer (status) TIN... Receipt no. and date Name and designation of official of the DCT To UPVAT XXVI-B [See Rule-45(7) of the UPVAT Rules, 2008 and Section 24 (7) & 26 of the UPVAT Act, 2008] Sir, Annual Tax Return for the works contractors / Transfer of right to use The Assessing Authority Sector District I-----------------------------------------------s/o,d/o,w/o-----------------------------status--- M/s......hereby, submit Annual Tax Return and furnish the particulars of business as follows: 5. Assessment year 2 0-2 0 6. Assessment period beginning from d d m m y y Ending on d d m m y y 7. Name / Address of the dealer - 8. Taxpayer's Identification Number [TIN] 5. Constitution of dealer 6. Details of Bank Accounts in which refund is to be credited Name & address of the branch Nature of A/c Account No. i ii iii iv v

7. Detail of declaration or certificate received from Department of Commercial Taxes- i ii iii Name of Form Opening Balance Received Used No. No. No. Amount Covered Lost/ Destroyed No. Surrendered Closing Balance No. No. 1 2 3 4 5(a) 5(b) 6 7 8 XXXI XXXVII I C Note: - Annex the detail information in annexure I, II, III 8. Profit & Loss account and balance sheet (attach copy) 9. Tally of commodities in opening stock and sold or disposed of in Annexure IV 10(a). Details of purchase Particular of purchase Vat (in Rs.) Non vat (in Rs.) Exempt (in Rs.) (in Rs.) i- from registered dealer in UP ii- from person other than registered dealer in UP in course of import out of India iv- in course of movement of from one state to another v- in course of inter-state trade or commerce vi- any other purchase for any purpose Note: Reason to be given if the details of the purchase given here defer from those given in monthly and quarterly return

10(b)- computation of tax on the turnover i- ii- iv- v- vi- etc. Name of commodity Purchase turnover rate of tax amount of tax 11a- Computation of taxable turnover in case of transfer of right to use of any Particular Amount 1- Gross Turnover 2- Deduct if included in the gross turnover i- the amount representing the amount receivable in respect of transfer of right to use any exempt ; ii- iv v amount receivable as penalty for defaults in payments or as damages or any loss caused to the by the person to whom such transfer was made; amount receivable in respect of transfer, delivery or supply of under the contract or agreement of transfer of right to use for any purpose where such transfer, by the lessor to the lessee, is made as a result of a sale (a) in the course of inter-state trade or commerce; (b) outside the State; or (c) in the course of export of the out of the territory of India or in the course of import of into the territory of India. (i+ii+ii) Taxable turnover = i-iv 11b- Computation of tax in case of transfer of right to use of any under UPVAT Act, 2008 Name of commodity i- ii- etc Taxable turn over Rate of tax Amount of tax

12- tax payable Particulars Amount i On the turn over of purchase ii On the turnover of sale iii Tax on transfer of right to use any iv Amount of tax deducted at source v Tax under CST Act 1956 vi Tax payable in case of works contract as per form XXVI B vii Any other tax viii tax payable 13(a). Computation of taxable turnover in case of works contract Particulars Amount 1 2 3 1- total amount received or receivable 2- deduct i- all amounts representing the value of consumed in execution of the works contract; contract; in which property in is not transferred in the execution of the works contract; ii- iv- all amounts representing the value of exempt and amount of profit thereon; all amounts representing the rent paid or payable in respect of machinery and other equipments taken on hire for use in the execution of such works contract; all amounts representing the value of service and labor and profit thereon; v- all amounts representing the value of in which property has been transferred in the execution of the works contract as a result of sale in the course of inter-state trade or commerce; vi- all amounts representing the value of in which property has been transferred in the execution of the works contract as a result of sale in the course of export of out of the territory of India vii- v ix- all amounts representing the value of in which property has been transferred as a result of a sale outside the State; all amounts representing the value of non-vat purchased from within the State in the circumstances in which the dealer executing the works contact himself is liable to pay tax on turnover of purchase of such ; all amounts representing value of non vat where such are purchased by the dealer from a registered dealer.

x- the amount representing the cost of establishment and other similar expenses of the contractor to the extent it is relatable to supply of labor and services, and profit thereon. 3- total ( i to x of 2) 4- turnover (1-3) under UPVAT Act, 2008. Note: Reason to be given if the details of the sales value given here defer from those given in monthly and quarterly return 13(b). Computation of Tax on the turnover of sale in works contract under UPVAT Act name of commodity taxable turnover of sale i- ii- iv- etc. rate of tax amount of tax 13(c). Computation of Tax on the turnover of sale under the CST Act name of commodity i- ii- iv- etc. particular of turnover turnover rate of tax amount of tax 14-Composition money Sl. No. Nature of works contract contract no. and date amount received or receivable Deduction allowed Amount liable to composition money Rate of composition Amount of composition money 1 2 3 4 5 6 7 8 i- ii

iv- v- vi- vii- 15- tax payable Sl. No. Particulars Amount i- On the purchase ii- iv- On the sale Amount of tax deducted at source from sub contractor Amount of composition money v- Tax payable under CST Act 1956 16- Details of ITC Particular Amount i- ITC brought forward from last year ii- iv- ITC earned during assessment year total(i+ii) ITC adjusted against tax payable in CST for current year v- ITC adjusted against tax payable in UPVAT for current year vi- vii- ITC adjusted against dues in UPTT ITC adjusted against any other dues v ITC refunded under section15(other than section 41) ix- Toal (iv+v+vi+vii+viii) x- ITC in balance xi- ITC carried forward for next year 17- Information regarding search & seizure:- 1- Detail of search, inspection and seizure in this Year, preceding Year and succeeding Year (If any) which are related to this year. Date of search / inspection / seizure I Ii -- Name of Authority, who has conducted search & seizure Result

2- Details of penalty/provisional assessment etc. and result in appeal/writ I Ii -- -- -- -- Date of order Section in which order is passed Amount of penalty /tax I st Appeal Result in Appeals/writ, if pending write appeal/writ no. Tribunal Settlement Commission High Court/ Supreme Court 18(a)- Details of deposit by TDS certificate No. of Form XXXI Amount of TDS name of the month amount deposited Date of deposit Name of the bank branch of the bank 1 2 3 4 5 6 7 8 18(b) - Detail of adjustments in form XXXIII-A Month in which adjusted Amount Year from which adjusted date and order no. of XXXIII-A

18(c)- Details of deposit along with return of tax period in Treasury/bank Month Amount in Rs. TC no. i- April ii- iv- May June July v- August vi- vii- v ix- September October November December x- January xi- xii- February March Date Name of the bank address of the Branch 18(d) - amount of deposit/itc to be credited Particulars amount 1 2 3 1- Direct deposit in Bank or Treasury 2- TDS Certificate (XXXI) 3- By adjustment of refund 19- Net tax payable and demand or refund Name of the Act UPVAT Tax payable ITC adjusted net tax payable Tax deposited/adjusted/tds Demand/refund 1 2 3 4 5 6 Annexures- Balance sheet and trading account - Annexures I to IX DECLARATION I.s/o,d/o,w/o/ St atus. [i.e. proprietor, director, partner etc. as provided in rule- 32(6)], do hereby declare and verify that, to the best of my knowledge and belief all the statements and figures given in this return are true and complete and nothing has been willfully omitted or wrongly stated.

Date - Place - Status - Note:- Name and Signature of partners/proprietor/karta etc. Name of the dealer- 1-This Return and annexure must be signed by a person who is authorized under rule 32 (6) of Uttar Pradesh Added Tax Rules, 2008. 2- If space provided in any format or annexure is not sufficient the same may be furnished on separate sheet in same format UPVAT - XXVI-B Annexure I Details of Declaration (Form XXXVIII) received from the Department of Commercial Taxes and used during the assessment year S. N. Number of declaration (Form XXXVIII) Name & address of the selling dealer or consignor TIN Commodity Tax/Sale invoice/ Date Quantity/ Measure/ Weight as per Form XXXVIII Amount as per Form XXXVIII Amount as per tax/sale invoice Reason for the difference if any (Attach proof ) 1 2 3 4 5 6 7 8 9 10

UPVAT - XXVI-B Annexure II Details of declaration in Form C prescribed under The Central Sales Tax Act 1956 and used during assessment year S. N. Declaration No. Name & address of the selling dealer TIN of the selling dealer Commodity Tax/Sale invoice no. and date Quantity/ Measure/ Weight Amount of tax/sale invoice Assessment Year of purchase S. no. of declaration Form XXXVIII issued Reason of difference if any 1 2 3 4 5 6 7 8 9 10 11 declaration used = Amount UPVAT - XXVI-B Annexure III Details of certificate Form XXXI received from the Department of Commercial Taxes and used in the assessment year Certificate No. Name & address of sub contractor TIN of subcontractor contract no. and date nature of contract gross amount paid amount of VAT deducted date of payment 1 2 3 4 5 6 7 8 9

UPVAT - XXVI-B Annexure IV Tally of the in sold or disposed of Description of commodity Opening balance Received from purchase Received otherwise Sale within the state Central sale Stock transfer Disposal otherwise Closing balance 1 2 3 4 5 6 7 8 9 10 11 i UPVAT - XXVI-B Annexure V Submission of list of purchases in following format, if not attached along with return of tax period or if there is variation in the purchases, list must be separate for vat, non vat and exempt commodity wise (within state, out side state, and out of India separately) Name and address of the seller TIN of the seller Tax/sale invoice no. and date Quantity /measure in the sale invoice of exclusive of tax Amount of tax paid or payable to registered dealer 1 2 3 4 5 6 7 1-2- 3-4- 5-6- 7-

Opening Stock UPVAT - XXVI-B Annexure VI Quantitative details of the in trading By Purchase Received S. N. Name of the Commodity According to rate of tax By Stock Transfer or Otherwise Sale/consumption in manufacturing/ processing/packing Disposal otherwise Closing stock 1 2 3 4 5 6 7 8 9 10 UPVAT - XXVI-B Annexure VII Computation of ITC in case of taxable other non vat and capital, purchased within the UP and sold in same form and condition Name of the Commodity according to rate of tax Purchased from registered dealer against tax invoice of Tax paid or payable Purchased from person other than registered dealer against purchase invoice of Tax paid to Treasury input tax credit [3(b)+4(b)] 1 2 3(a) 3(b) 4(a) 4(b) 3

UPVAT - XXVI-B Annexure VIII Computation of RITC where taxable other than non vat and capital are disposed of otherwise than by way of sale Goods disposed of otherwise than by way of sale Name Purchase value exclusive of tax Rate of tax payable under the Act Amount of admissible ITC Amount of ITC claimed Amount of reverse input tax credit 1 2(a) 2(b) 3 4 5 6 (5-4) UPVAT - XXVI-B Annexure IX Computation of ITC earned during the assessment year Particular ITC 1 2 3 1- Amount of ITC on purchase during the assessment year 2- Installments of ITC on the stock held in the opening stock on the date of commencement of the Act 3- Installments of ITC on the stock held in the opening stock on the date when the dealer becomes liable to tax after the commencement of the Act 4- Installments of ITC on the stock held in the closing stock on the date of end of compounding scheme under section 6 of the Act 5- any other ITC 6- ITC (1+2+3+4+5) 7- RITC 8- RITC in case of discontinuance of business 9- any other RITC 10- RITC earned(7+8+9) 11- ITC earned(6-10) * Form XXVI substituted by Circular No. 1232/0809107/Commercial Taxes, Uttar Pradesh dated 04th March, 2009.