GSTR-4. Government of India/State Department of Quarterly Return for Compounding Taxable person. 2. Name of the Taxable Person 3.

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1. GSTIN. 2. Name of the Taxable Person 3. Address Government of India/State Department of --------- GSTR-4 [See Rule.] Quarterly Return for Compounding Taxable person (S. No. 1, 2 and 3 shall be auto-populated on logging) 4. Period of Return From. To.

5. Inward supplies including supplies received from unregistered persons GSTIN/ Name of unregistered Invoice IGST CGST SGST supplier Auto populated No. Date ValueGoods/ServicesHSN/ Taxable Rate Amt Rate Amt Rate Amt SAC value (1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (13) Shall be auto populated from counterparty GSTR1 and GSTR5 Not auto populated (Claimed) Supplies attracting reverse charge (Others claimed by the receiver Taxable Person would include supplies received from unregistered Taxable person) Auto populated Others Shall be auto populated from counterparty GSTR1 and GSTR5

5A. Amendments to details of inward supplies including supplies received from unregistered persons in earlier tax periods Original Invoice Revised Details IGST CGST SGST GSTIN No. Date GSTIN No. Date Value Goods/ HSN/ Taxable Rate Amt Rate Amt Rate Amt of supplier of supplier Service SAC s value (1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (13) (14) (15) (16) Other than supplies attracting reverse charge Auto populated Not auto populated (Claimed) Shall be auto populated from counterparty GSTR1 and GSTR5 Supplies attracting reverse charge (Others claimed by the receiver Taxable Person would include supplies received from unregistered Taxable person) Auto populated Shall be auto populated from counterparty GSTR1 and GSTR5 Others

6. Goods /Capital goods received from Overseas (Import of goods) Bill of entry IGST No. Date Value HSN* Assessable Rate Amt Value (1) (2) (3) (4) (5) (6) (7) *at 8-digit level 6A. Amendments in Goods /Capital goods received from Overseas (Import of goods) of earlier tax periods Original Bill of Entry Revised details of Bill of entry IGST No. Date No. Date Value HSN Assessable Value Rate Amt (1) (2) (3) (4) (5) (6) (7) (8) (9)

7. Services received from a supplier located outside India (Import of services) Invoice IGST No Date Value SAC Assessable Value Rate Amt (1) (2) (3) (4) (5) (6) (7) 7A. Amendments in Services received from a supplier located outside India (Import of services) of earlier tax periods Original Invoice Revised details of Invoice IGST No Date No Date Value SAC Taxable value Rate Amt (1) (2) (3) (4) (5) (6) (7) (8) (9)

8. Outward Supplies made S.No. Nature of supplies Turnover Compounding tax rate Compounding tax amount CGST SGST (1) (2) (3) (4) (5) (6) 1 Intra-state supplies 2 Non GST Supplies 8A. Amendments to Outward Supplies related to intra-state supplies S.No. Quarter Revised Turnover Compounding tax rate Revised Compounding tax amount CGST SGST SGST SGST 1 (1) (3) (4) (5) (6) (7) (8)

9. Details of Credit/Debit Notes issued and received GSTIN Type of note Debit Note/ Original Invoice Differential Differential Tax (Debit /Credit) credit note Value (Plus or Minus) No. Date No. Date IGST CGST SGST Rate Amt Rate Amt Rate Amt (1) (2) (3) (4) (5) (7) (8) (9) (10) (11) (12) (13) Other than reverse charge Reverse charge Details shall be auto populated from counterparty GSTR1 and GSTR 5

9A. Amendment to Details of Credit/Debit Notes Issued and Received of earlier tax periods Original Debit Note/ Revised Details of original Debit Type of note Differential Differential Tax credit note Note/ credit note (Debit/Credit) Value (Plus or Minus) GSTIN No. Date GSTIN No. Date IGST CGST SGST Rate Amt Rate Amt Rate Amt (1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (13) (14) Other than reverse Reverse charge charge Details shall be auto populated from counterparty GSTR1 and GSTR 5 10. TDS Credit received GSTIN Invoice/Document Date of Value on which TDS_IGST TDS_CGST TDS_SGST of deductor Payment to TDS has been No Date Value the deductee deducted Rate Amt Rate Amt Rate Amt (1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) Shall be auto populated from counterparty TDS return

11. Tax liability under reverse charge arising on account of time of supply without receipt of Invoice GSTIN/UIN/ State Goods/Services HSN/SAC Taxable Value TAX Name of Code of supply IGST CGST SGST customer/unre of supply Rate Tax Rate Tax Rate Tax gistered supplier Liability under reverse charge 11A. Amendment in Tax liability under Reverse Charge arising on account of time of Supply without receipt of Invoice Original Details Revised Details Taxable TAX Value of supply Month (1) GSTIN/UIN State Goo HSN/ GSTI State Goods HSN/S IGST CGST SGST /Name of Code ds/ SAC N/UIN Code /Servic AC customer/ Servi Name es unregistere ces of d supplier custo Rate Tax Rate Tax Rate Tax mer/u nregist ered suppli er (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (13) (14) (15) (16)

Liability under reverse charge 12. Tax already paid on account of time of supply for invoices received in the current period relating to reverse charge. Invoice No. Transaction id Tax Paid on account of time of supply (A number assigned by the system IGST CGST SGST when tax was paid) Rate Tax Rate Tax Rate Tax (1) (2) (4) (5) (6) (7) (8) (9) Note: Tax liability in respect of invoices issued in this period shall be net of tax already paid on advance receipt/on occurrence of time of supply 13. Liability Payable Description IGST# CGST# SGST# Compounding Tax CGST SGST (1) (2) (3) (4) (5) (6) Tax payable for previous tax period $ (i) Outward supplies (ii) Inward supplies on reverse charge Tax payable for current tax period (i) Outward supplies (ii) Inward supplies on reverse charge Interest Late Fees Penalty Others (Please Specify)

Total # Tax paid in respect of supplies attracting reverse charge and those received from unregistered persons $ Details for tax payable for previous tax period will be reflected Quarter- wise. 14. Details of Tax Payment Cash Date IGST CGST SGST Compounding Tax Ledger Total tax paid Debit Entry No. CGST SGST (1) (2) (3) (4) (5) (6) (7) (8) (9) Tax paid Interest paid Fee paid Penalty Others 15. Refund Claimed S.N Description Minor head CGST SGST IGST Compounding Tax o (Tax/Interest/ CGST SGST Fee/ Penalty/Other (1) (2) (3) (4) (5) (6) (7) (8) 1. Refund claimed from cash ledger 2. Bank Account Details*

*This should be one of the bank accounts mentioned in the GSTIN 16. Are you likely to cross composition limit before the date of next return: Y/N I hereby declare that the information given in this return is true, correct and complete in every respect. I further declare that I have the legal authority to submit this return. Place: Date: (Signature of Authorized Person) Note: 1. To be furnished by 18 th of the month succeeding the quarter