Form VAT - X [ See rule 27/28/29] ORDER OF ASSESSMENT/PROVISIONAL ASSESSMENT/PROTECTIVE ASSESSMENT/RE-ASSESSMENT UNDER SECTION 29/30/31/32 OF THE GOA VALUE ADDED TAX ACT, 2005 (Act 9 of 2005). Commercial Tax Office ......Ward (2) Name of the dealer......................... (3) Address of principal place of business....................... (4) Year.....Period of assessment from ........to............ (5) (i) Accounts books produced: (ii) Method of Accounting : (6) Section under which assessed: (7) Date of service of notice in Form VAT - VIII/IX .............. (8) Turnover................... (9) Deduction: (i) Sale price of goods returned within a period of six months............ (ii) Sale price of goods on which no tax is leviable... (iii) Sale price of goods which have been exempted from tax.................. (iv) Sale price of goods which are sold in the course of inter-state trade or commerce ......... (v) Sales in the course import of goods into or export of the goods out of the Territory of India ..... (vi) Sales made outside the State out of goods stock transferred/consigned to other States...... (vii) Sales of goods through local agents (registered dealers) on behalf of the assessee ........ (viii)..................... Balance taxable turnover As shown in dealer's As determined returns/as in assessment/ determined in re-assessment. assessment. -2- (10) Amount of output tax payable on taxable turnover: (i) @ 1% calculated on Rs. .......... (ii) @ 4% calculated on Rs. ......... (iii) @ 12.5% calculated on Rs........ (iv) @ calculated on Rs......... (11) Total amount of output tax payable....... (12) Penalty imposed under section........ (13) Interest levied................. (14) Total of output tax, penalty and interest payable.. (15) Input tax credit admissible (a+b+c+d+-) (a) against purchases ........... (b) against stock held on appointed day/date of registration................ (c) input tax credit carried over from the previous year.................. (d) Entry Tax paid, if any.......... (e) .................. (16) Tax paid with returns ............. (17) Total of 15 and 16 ............... (18) Net balance due/amount paid in excess (14-17) (a) refundable ................ (b) carried forward............ Assessment order Place: Date: Seal of Assessing Authority Signature.......... Assessing Authority
