FORM S.T. IX RETURN OF PURCHASE TAX PAYABLE FOR THE YEAR/QUARTER/MONTH ENDING THE.............. (See rule 19 of the Himachal Pradesh General Sales Tax Rules, 1970) Name of dealer............................... Address of dealer.............................. Number of dealer's Registration Certificate................... Name of district of Registration ........................ General Sales Register/ Permanent Account number under the Income Tax Act....... Place and circle of Income Tax Assessment.................... A. Purchase price paid and payable for goods purchased during The return.period................. B. (i) Cost of freight and delivery if any, separately included in the purchase price................. (ii) Cash discount according to ordinary trade practice and included in the purchase price........... (iii) Purchase price of goods purchased outside the Himachal Pradesh or in the course of inter-State trade or commerce Or import into the territory of India. (iv) Purchase price of goods sold:- a. to registered dealers............. b. in the course of inter-State trade or commerce... c. in the course of export out of territory of India.... C. Taxable turnover (A minus B) D. Amount of tax payable on the taxable turnover (C) at the rate of Rs.2 Percent (calculated to the nearest paise). DD. (i) Amount of surcharge payable.......... (ii) Amount of interest payable.......... E. Amount of tax, if any, credited by Refund Adjustment Order..... F. Amount of tax paid.............. FF. (i) Amount of surcharge paid........... (ii) Amount of interest paid........... G. Name of Government treasury or bank in which tax, Surcharge and interest has been paid........ H. Number and date of the relevant treasury /bank receipt Attached to this return in proof of payment...... DECLARATION I hereby certify that the above statements are true and complete to the best of my knowledge and belief. Place: Dated: Signature of dealer. ACKNOWLEDGEMENT Received from M/s................... possessing Registration Certificate No........... a return of purchase tax payable by him for the period from....... to ........with enclosures mentioned therein. Place: Date: Receiving Officer/Official.
