FORM 28 {See rules 9, 11(1)(a), 11(2), 27(6)] Annual return of turn-over and tax payable (1) Return for the year from ...... to ...... (2) Registration Certificate No. under the Goa Tax on Entry of Goods Act, 2000 (3) Name and full address of the dealer (4) Style of business (5) Status of the assessee (6) Tax payable for the year (as per the table overleaf) (7) Tax paid (details to be furnished) (8) Balance due/ Excess paid DECLARATION I, ............... do solemnly declare that to the best of my knowledge and belief the information furnished in the above return is true and complete and that it relates to the covering the period from ..... to ...... Signature Place: Name and the Signature Date: Proprietor/Partner/Manager/Director. Details of the purchase value of Schedule Goods dealt in during the year and Tax payable. Sl. No. Description of the goods Value of goods purchased/ /received (both from within and outside local area and motor vehicles Value of goods purchased/ /from within the local area Value of goods purchased/ /received from outside the local area, but returned to the suppliers Value of goods purchased /received from outside the local area, but sent out of the Purchased value of motor vehicle imported from outside the State on which tax has Total deduc tions 4(a)+ 4(b)+ 4(c)+ 4(d) Total value of goods liable to tax (3-5) Rate of tax Tax due (Rs. Ps) imported from outside the state) local area otherwise than by way of sale already been paid by filing statement in Form (excluding the amount shown under col. 4(b) (1) (2) (3) 4(a) 4(b) 4(c) 4(d) (5) (6) (7) (8) Total Note: The values indicated should include the carriage inwards in all cases.
