Download Value Added Tax (VAT) Forms

APPENDIX Forms Form VAT-1 [See rule 3(1)] Application for the grant of VAT/GENERAL registration under section 14 of the Himachal Pradesh Value Added Tax Act, 2005. To The Assessing Authority, .....District. I/We ........... Proprietor/Manager (duly authorised)/ Partner(s) Karta of HUF/Principal Officer managing the business/affairs of the Company/Society/Association of persons/Club/Head of the Department or any other officer duly authorised by him in writing, of the business, details of which are given below, hereby apply on behalf of the said business for grant of a certificate of registration under the Himachal Pradesh Value Added Tax Act, 2005, for which a registration fee of Rs.100.00 has been paid on .... vide TR No.. date ..... 1. Name and style of : business 2. Principal place of the business and contact address: 3. Permanent Account number of the business (PAN) under the Income Tax Act, 1961. 4. Constitution of the business, (v) whichever is applicable *(To be specified if not covered by any of the given descriptions) 5. Nature of business, (v) whichever is applicable 6. Principal commodities in which the business is done. 7. EAC (Economic Activity Code) (As per Schedule-I appended to the rules) 8. Basis of incurring liability to pay Import: tax (v) whichever is applicable Export: Sale exceeding Rs.....: Registration under section 14(2):- 9. Date of liability 10. Details of Bank Account(s) of persons having interest in the business: 11. Details of immovable properties owned wholly or partly by persons having interest in the business:. 12. Script in which account books are maintained 13. The names, addresses and other details of the proprietor, each of the partner or member, Karta of Hindu Undivided Family and each director (in case of private limited company) are attached as per Annexure-I. 14. Attested copy of the partnership deed /Memorandum of Association and Articles of Association/ other agreement/ document---------- is/ are enclosed. 15. The details of additional place(s) of business are attached as per Annexure-II. 16. The list of goods required to be purchased for use in manufacture, telecommunication network, generation or distribution of electric energy or other power captive use or packing of goods and use as capital goods is attached as per Annexure-III. 17. The details of security furnished are attached as per Annexure-IV. 18. Passport size (self-signed) photographs of the proprietor, each of the partner, Karta of Hindu Undivided Family and each director (in case of private limited company) ect. are pasted below. Principal place of business Address Phone: City Fax: District E-mail: Proprietorship Private Limited Association of Government Company Persons Corporation/ Board Partnership Public Limited Club * Company HUF Co-Operative Society Government Manufacturing Leasing Telecommunication Stone Crusher Wholesale business Catering (service of eatables) Halwai/Dhaba/ Tandoor/Loh /Chat service Other Retail-sale business Mining Brick-kiln owner Works Contracting Power Generation or distribution Lottery dealer D D - M M - Y Y Y Y - - Name of Bank with address Type of account Account Number Serial No. Name of the owner Description of property Address where property is situated Approximate value Share Percentage Name Status Name Status Name Status and one such photograph (self-signed) of each of the concerned attached. VERIFICIATION I/We______________________ do hereby solemnly affirm and declare that the information contained in this application, including Annexures attached herewith, is true and correct to the best of my/our knowledge and belief. Place: Date: Signature .......... Status ............ Full Name ........... DECLARATION (i) I/We hereby undertake to abide by the provisions of the Himachal Pradesh Value Added Tax Act, 2005 and the Himachal Pradesh Value Added Tax Rules, 2005. (ii) A signboard in the name of my/our business has already been displayed at all the business premises. (iii The books of accounts in respect of the said business are being maintained and shall be found at the said business premises. Place: Date: Signature .......... Status ............ Full Name ........... (Signature of other partners in case of partnership business) (1) Place .. Signature ... (2) Place.... Signature .... Full name .... Full Name... Date Status Date Status .... (3) Place ...Signature ... (4) Place.... Signature .... Full name .... Full Name... Date Status Date Status .... (For office use only) Acknowledgement receipt No. . Date.... Circle No. .... Annexure-I (To be attached with form VAT-1) Information about Proprietor, Manager (duly authorised), each Partner (in case of partnership business)/Director (in case of Private Company) separately, Karta of Hindu Undivided Family. 1. Full name (in capital letters) _________________________________ 2. Father's Name (in capital _________________________________ letters) 3. Status _________________________________ 4. Extent of interest in business _________________________________ 5. Permanent Address House No. _______Village/Town/City Tehsil______ District _________ State___________ Pin code_________ 6. Present Address House No. _______Village/Town/City Tehsil ________ District _________ State___________ Pin code ________ 7. Details of all immovable properties owned: 8. Particulars of other business(s) in which the person has interest Sr. Full address where property is Approximate Extent of share No. situated value Sr. Full address where property is Approximate Extent of share No. situated value VERIFICATION The above details are true and complete to the best of my knowledge and belief and nothing has been concealed therefrom. Place ____________ Signature of the person concerned Date_____________ Annexure-II (To be attached with form VAT-1) Details of additional places of business Sr. Complete Address Use of premises Telephone No. factory/godown/officer/sale Number outlet/any other (to be specified) VERIFICATION The above details are true and complete to the best of my knowledge and belief and nothing has been concealed therefrom. I further declare that I shall inform the appropriate Assessing Authority whenever there is a change in the information provided in this Annexure. Place ______________ 1. Signature ........ Full name _______________ Date_______________ Status __________________ 2. ________________________ 3. ________________________ Annexure-III (To be attached with form VAT-I) The List of goods required to be purchased for use in manufacture, telecommunication, generation or distribution of electricity or other form of power, packing of goods and use as capital goods . Serial No. Purpose for which required Description of goods (1) (2) (3) 1. For use in manufacture of goods. 2. For use in telecommunication network. 3. For use in generation or distribution of electricity or any other form of power. 4. For use in packing of goods specified in Column (3) of entries at serial Nos. 1 to 3 above, as the case may be. 5. For use as Capital goods. Signature ________________ Full Name _______________ Status___________________ Annexure-IV (To be attached with form VAT-I) (Details of Security Furnished) Serial No. Type of security Name of the surety (if applicable) Amount Name and TIN of the business in which surety has an interest. Date of expiry (in case of bank guarantee) VERIFICATION The above details are true and complete to the best of my knowledge and belief and nothing as been concealed therefrom. I further declare that I shall inform the appropriate Assessing Authority whenever there is a change in the information provided in this Annexure. Signature _____________ Place _____________ Full Name ____________ Date ______________ Status________________ Annexure-V (To be attached with form VAT-I) Details of Stock of goods (other than capital goods) as on 31.03.2005 1. Total value of the stock as on 31.03.2005: Rs.____________ 2. Value of goods out of (1) above which are lying in the form in which these were purchased: Rs.____________ 3. Value of manufactured goods including goods in process(in case of a manufacturing concern). Rs.____________ 4. Break-up of value of goods at (2) above: Value of stock of goods as on 31.03.2005: Rs.________ Value of goods purchased within the State Value of goods purchased from outside the State Rs. Tax paid goods Tax free goods Rs. Taxable goods (purchased without payment of tax) Rs. Rate of tax Value of goods Rs. Tax element in value Rs. Total: 5. Break up of value of goods used in the manufacture of goods at (3) above. Total Value: Rs. Value of goods purchased within the State: Rs. Tax paid goods Tax free goods Rs. Taxable goods. (purchased without payment of tax) Rs. Value of goods purchased from outside the State Rs. Rate of tax Value of goods Rs. Tax element in value Rs. Total: VERIFICATION The above details are true and complete to the best of my knowledge and belief and nothing has been concealed therefrom. Place ____________ Signature _________________ Status ____________________ Date: ____________ Full Name ________________ FORM VAT- II [See rules 3 (2) and 33 (1) and 37 (1)] CHALLAN Original Triplicate Duplicate Quadruplicate Invoice of the Tax paid into .... Treasury/Sub-Treasury/Branch or State Bank of India or the State Bank of Patiala and credited under the Head of Account "0040-Sales Tax -Receipts from Himachal Pradesh Value Added Tax Act, 2005." District: Circle Period From / / 2 0 To / / 2 0 Last date of payment / / 2 0 1. By whom tendered 2. Name of the dealer/ person 3. Complete address : TIN 102 - RECEIPTS FROM STATE VALUE ADDED TAX ACT: 01-- Voluntary Value Added Tax 02 -- Purchase Tax 03 -- Tax Deducted u/s 17 04 -- Additional Demand ----- 05 -- Penalty u/s -------- 06 --Interest 07 -- Other payments on account of --------------------------- Rs. Rs. Rs. Rs. Rs. Rs. Rs. TOTAL IN FIGURES: Rs. TOTAL IN WORDS: Rupees Certified that all the particulars given above are correct. Signature of depositors Assessing Authority (with Seal) FOR USE IN TREASURY Received the sum of Rupees and credit under Account "0040 Value Added Tax - 102 State Value Added Tax Treasury Accountant Treasury Officer/ Sub-Treasury Officer/ Manager, State Bank of India/ Stamp of Treasury Manager, State Bank of Patiala. Footnote: "Original" : To be sent by the Treasury Officer to the Assistant Excise and Taxation Commissioner or Excise and Taxation officer, incharge of the District. "Duplicate": To be retained in the Treasury. "Triplicate": To be returned to the person making payment. "Quadruplicate": To be returned to the person making payment. FORM VAT-III PERSONAL BOND WITH SOLVENT SURETIES [See rule 4(1)(b)] BEFORE THE ASSESSING AUTHORITY_____________ CIRCLE, DISTRICT ____________, HIMACHAL PRADESH, UNDER SECTION 15 OF THE HIMACHAL PRADESH VALUE ADDED TAX ACT, 2005. No..... 200 .... M/S/--------------------------------Petitioner Versus The State of Himachal Pradesh through the Assessing Authority ___________ Know all men by these presents that I/We _________(full name)____(full address)________ Tax Payer's Identification No., (if any) _______ am/are held and firmly bound to the Government of Himachal Pradesh (hereinafter referred to as "the Government" which expression shall, unless excluded by, or repugnant to, the context, include his successor-in­office and assigns) in the sum of Rs._____(Rupees________) hereinafter referred to "as the said sum" to be paid to the Government on demand, for which payment will and truly to be made, I/We bind myself/ourselves/our heirs, executors, administrators and legal representatives by these presents. Whereas the above bounden has been required by the appropriate Assessing Authority__________ District ___________ Himachal Pradesh to furnish security for the said sum for the purpose of,----- (a) securing the payment of any amount payable by him/ them on account of tax, interest or penalty under the Himachal Pradesh Value Added Tax Act, 2005 (hereinafter referred to as the 'Act'), within the time provided and in the manner prescribed, and (b) indemnifying the Government against all losses, costs or expenses which the government may, in any way, suffer, sustain or pay by reasons of the omission, default or failure or insolvency of the above bounden or, any person or persons acting under or for him/them, to pay the said sum in the manner and by the time provided by or prescribed under the said Act and the rules made thereunder. Now, the condition of the above written bond is such that if the above bounden, his/their heirs, executors, administrators and legal representatives or any other person acting under or for him/them shall,---- (a) pay the full amount due under the said Act and rules made thereunder in the manner and within the period provided or prescribed under the said Act and the rules, on demand by any authority appointed by the Government under section 3 of the said Act, such demand to be in writing and to be served upon the above bounden, his/their heirs, executors, administrators and legal representatives or any other person acting under or for him/them in the manner and within the period provided by or prescribed under the said Act and the rules made thereunder, and (b) also at all times indemnify and save the Government from all and every loss, costs or expenses which has/ have been or shall or may, at any time or times hereafter during the period in which the above bounden is held liable to pay any sum due under the said Act and the rules made thereunder, be caused by reason of any person acting under or for him/them, then this obligation shall be void and be of no effect, otherwise the same shall be and remain in full force and effect and it is hereby further agreed that in the event of the death/ partition/disruption/dissolution/winding up or the final cessation of the liability, under the Act or the rules made thereunder, of the above bounden, this bond, shall remain with the aforesaid Assessing Authority for recovering (a) any sum that may be payable by the above bounden or (b) any loss, cost or expenses that may have been sustained, incurred on insolvency of the above bounden, his/their heirs, executors, administrators and legal representatives and which may not have been discovered until after the above bounden's death/partition/disruption/dissolution/winding up or final cessation or his/their liability under the said Act or the rules made thereunder: Provided always that without prejudice to any other right or remedy for recovering any sum due under the Act or loss or damages as aforesaid, it shall be open to the Government to recover the amount payable under this bond as arrears of land revenue. In witness whereof the said ____________(full name) has hereunto set his/their hand(s) this_______ day of __________ Signed and delivered by the above named in the presence of the witnesses here-in-below. Signature __________________ Status _____________________ Witness: 1. (Full Name)_____________ 2. Full Name) _____________ We (1) ________________________________________________ (2) _________________________________________________ (Name and full addresses of the Sureties) hereby declare ourselves to be sureties for the above bounden and guarantee that he/they shall do and perform all that he/they has/have above undertaken to do and perform and in case of his/their omission, default or failure therein, we hereby bind ourselves jointly and severally to forfeit to the Government of Himachal Pradesh (hereinafter referred to as 'the Government', which expression shall unless excluded by or repugnant to the context, includes its successors-in­office and assigns) the sum of Rs.__________ (Rupees____________ _________) (hereinafter referred to as 'the said sum') in which the above bounden has bound himself or such other lesser sum as shall be deemed to be sufficient by the Assessing Authority or any other officer appointed under section 3 of the Himachal Pradesh Value Added Tax Act, 2005, to recover any sum payable by the above bounden and remaining unpaid and also to recover any loss, damages, cost or expenses, which the Government may sustain, incur or pay by reasons of such omission, default or failure. And we further agree that the Government may without prejudice to any other rights or remedies of the Government, recover the said sum from us, jointly and severally, as arrears of land revenue. And we also agree that neither of us shall be at liberty to terminate this surety-ship except upon giving to the appropriate Assessing Authority six calendar months' notice, in writing, of his intention so to do prospectively, and our joint and several liability under this bond shall continue in respect of all acts, omissions, defaults, failure and insolvencies on the part of the bounden even upto the expiration of the said period of six months. Signatures of the sureties in presence of witnesses 1. Witness: Signature ______________ 1. Signature______________ (Full Name)_____________ (Full Name) ______________ (Complete address) ________ ________________________ Permanent Address_________ 2. Signature ______________ 2. Signature______________ (Full Name)_____________ (Full Name) ______________ (Complete address) _______ Permanent Address_________ _______________________ Accepted for and on behalf of the Governor of Himachal Pradesh in pursuance of Article 299 (1) of the Constitution. In presence of 1. 2. Name and Designation of the Officer FORM VAT-IV CERTIFICATE OF REGISTRATION (GENERAL/VAT REGISTRATION) [See rule 5 (1)] Space for TIN (Tax-payer's Identification Number) DISTRICT: of applicant. This is to certify that the business known as M/s ..........whose principal place of business in Himachal Pradesh is situated at.......... town/village.....post office ....Tehsil.......District......has been registered as a dealer/person under sub-section (1)/(2) of section 14 of the Himachal Pradesh Value Added Tax Act,2005. 2. The business is and has additional places of business at,--- 3. Periodicity of furnishing returns and payment of tax: 4. DATE OF LIABILITY DATE OF VALIDITY (i) (ii) (iii) (iv) Seal of Assessing Authority (Signatures)........ Assessing Authority Dated........ District........... Note: - This certificate shall be kept at the principal place of business and its attested copy be kept at each additional place of business. It shall be produced on demand by any person exercising authority under the Act and rules. CONTINUED (A) CLASS(ES) OF GOODS ALLOWED:-- Serial No. Purpose for which allowed Description of goods 1. For re-sale 2. For use in manufacture of goods. 3. For use in telecommunication network. 4. For use in generation or distribution of electricity or any other form of power. 5. For use as packing of goods specified in entries at Sl. Nos. 2 to 4 above. 6. For use as capital goods Assessing Authority (B) PARTICULARS OF RENEWALS Date of renewal Period for which renewed. Signatures of Assessing From To Authority. (C) PARTICULARS OF SECURITY Nature of security Amount Name and address of the bank/post Rs. Office/surety. Form VAT-V [See rule 8(1)] Register of dealers registered under section 14(1) of the Himachal Pradesh Value Added Tax Act, 2005. List of registered dealers of ________________ District. Sr. Dealers' Name and Name and address of Economic No. Address proprietor ./partners etc. Activity Code 1. 2. 3. 4. Address of Headoffice and branches . Date of liability Particulars of TIN (Tax -payer's Identification Number) Number Date of issue Date of Validity Date of Cancellation 5. 6. 7. 8. 9. 10. Details of Security Signatures Nature of security Particulars of the bank/post office/ surety Amount Dealing Hand Assessing Authority concerned. 11. 12. 13. 14. 15. Form VAT-VI [See rule 8(2)] Register of persons registered under section 14(2) of the Act. List of registered persons of ________________ District. Sr. Dealers' Name and Name and address of Economic No. Address prop./partners etc. Activity Code 1. 2. 3. 4. Address of Head office and branches . Date of liability Particulars of TIN (Tax -payer's Identification Number) Number Date of issue Date of Validity Date of Cancellation 5. 6. 7. 8. 9. 10. Details of Security Signatures Nature of security Particulars of the bank/post office/ surety Amount Dealing Hand Assessing Authority concerned. 11. 12. 13. 14. 15. FORM VAT-VII INDEMNITY BOND [See rule 25 (1)] BEFORE THE ASSESSING AUTHORITY_____________ CIRCLE, DISTRICT ____________, HIMACHAL PRADESH, UNDER RULE 25(1) OF THE HIMACHAL PRADESH VALUE ADDED TAX RULES, 2005. No..... 200 .... M/S/--------------------------------Petitioner Versus The State of Himachal Pradesh through the Assessing Authority ___________ Know all men by these presents that I/We _______________(Full address of the dealer) _______________________________________ ___ *registered dealer/dealer under the Himachal Pradesh Value Added Tax Act, 2005 under Tax Payer's Identification Number (Registration No) _________________ dated____________in the State of Himachal Pradesh(hereinafter called the Obligor) * am/are held and held and firmly bound upto the Governor of Himachal Pradesh (hereinafter called the Government) in the sum of Rs. _____________(Rupees in words) ______________________________ *(hereinafter referred to as the said sum) to be paid to the Government on demand for which payment will and truly be made, I/We bind myself/ourselves and my/our heirs, executors, administrators, legal representative and assigns and the person for the time being having control over assets and affairs by these presents. Signed this __________________________________ day of ______ __________________ two thousand and __________________________ Whereas sub-rule (1) of rule 25 of the Himachal Pradesh Value Added Tax Rules,2005, requires that in event of the original tax invoice having been lost, destroyed or mutilated, he registered dealer shall make an application to the appropriate Assessing Authority and attach alongwith the same a duplicate copy of the tax invoice issued by the selling dealer and shall be required to furnish an indemnity bond to the appropriate Assessing Authority for the amount equal to the amount of input tax credit claimed under such invoice; And whereas the obligor herein is the dealer to whom the tax invoice in Form VAT- ______ bearing serial number ______ dated ________ was issued by ___________________ (Name and address of the selling dealer); And whereas the obligor has lost/ destroyed/mutilated the said tax invoice in Form VAT- ____ bearing serial number ______ dated ________ was issued by ___________________ (Name and address of the selling dealer). Now the condition of the above written bond is such that if the obliger shall in the event of a loss suffered by the Government (in respect of which the decision of the Government or the authority appointed for the purpose shall be final and binding on the obliger) as a result of the misuse of the aforesaid Form, pay to the Government on demand and without demur the said sum of Rs. ______________(Rupees______________________________in words) and shall otherwise indemnify and keep the Government harmless and indemnified from all liabilities incurred by the Government as a result of the misuse of such from then the above written bond shall be void and of no effect but otherwise shall remain in full force, effect and virtue. The Obliger further undertakes to mortgage/charge to properties specified in the Schedule hereunder written by execution of proper deed of mortgage/charge for the payment of the said sum; SCHEDULE (Give details of properties mortgaged/charged) And these presents also witnesseth that the liability of the Obliger hereunder shall not be impaired or discharged by reason of any forbearance, act or omission of the Government or for any time being granted or indulgence shown by the Government. The Government agrees to bear the stamp duty, if any, chargeable on these presents. In witness whereof the Obliger has set his hand/*has caused these presents executed by his authorised representative on the day, month and year above written in the presence of _______________________. 1.________________________ 2.________________________ (Obliger's signatures) Accepted for and on behalf of the Governor of Himachal Pradesh by name and designation of the Officer duly authorised in pursuance of Article 299(1) of the Constitution of India to accept the Bond for and on behalf of the Governor of Himachal Pradesh. In the presence of - 1. ___________________________ 2. ___________________________ (Name and designation of the officer) Form VAT-VIII [See rule 27(1)] APPLICATION FOR PERMISSION BY CASUAL TRADER To The Assessing Authority, Circle 1. Particulars of Business 1.1 Full Name of applicant and Father's Name 1.2 Trade name, (if different from the above) 1.3 Principal place of business Pin State: Tel Fax E-mail address: 1.3.1 Place of business, if any, in Himachal Pradesh. 1.3.2 Place of business from which goods are proposed to be brought to H.P. 1.4 TIN, if any 1.5 PAN No., if any 1.6 VAT Regn. No., if any, in other State than that mentioned in 1.3 1.7 Proof of identify, if above numbers (columns 1.4 to 1.6 do not exit) 2. Particulars of the business event for which application is made in this form (a) Nature of business event (b) Date of commencement / / 2 0 (dd. mm. yy) (c) Date of conclusion / / 2 0 (dd. mm. yy) (d) Location (address) (e) Description of goods proposed to be sold (Attach list of goods, if necessary) (f) Value of goods proposed to be brought for sale at the place of event (g) Anticipated Gross Sales (Rs.) (h) Anticipated Tax liability (Rs.) (i) Sale Bill Books (for authentication) No. of Books Pre-printed Sr. Nos (j) Books of Accounts (for authentication) 3. Local correspondence (a) Local contract address Pin Area: Tel Fax (b) Local reference, if any (c) Name and permanent address of event organizer. (d) Attach Confirmation letter of event organizer alongwith proof of payment, if any. (e) Name and address of the owner of location (f) Attach Confirmation letter of the owner of the location or proof of payment, if any. 4. Details of payment of Fee TR No. Date Amount 5. Details of security Declaration: I solemnly declare that to the best of my knowledge and belief, the information given on this form is true and correct Name Designation Signature Date (dd mm yy) For office use only Date of receipt of application Permission Certificate No. and Date Security details Details of tax payment Date of assessment Additional tax demand, if any Receipt of additional tax demand Instrument (Tick as applicable)t TR Demand Draft Banker's Chq. Instrument No. Amount Date of receipt Refund, if any, allowed Refund details Date of issuance of Tax Clearance Certificate Instrument No. Date Amount Form VAT-IX [See rule 29] PERMISSION TO CASUAL DEALER Permission Certificate No. 1. M/s ___________________, have its principal place of business at ____________ is hereby permitted to organize a business event for sale or purchase of taxable goods in Himachal Pradesh. 2. This permission is valid from __________ to _________ or conclusion of the business event whichever is earlier. 3. The casual trader will deal in the following items _______ 4. The place of casual business event will be at ___________________ 5. In addition to above said place, the casual business event is to be conducted at (a) ____________________________________________________ (b) ____________________________________________________ 6. The casual trader has furnished security in form of cash/bank guarantee for Rs._____________ and this bank guarantee is value upto _________________. 7. The casual trader is to pay tax on _________ (dates) and the following person/persons will discharge such liability. S. No. Name Father's Name Status Complete Address Signature of the Assessing Authority, (With official stamp/seal) 29 Conditions: 1. This certificate will be displayed at the prominent place of the business event. 2. The certificate will stand cancelled automatically on the said date mentioned in Col.2 unless extended. 3. The goods shall be sold against authenticated sale bills only. 4. The casual trader shall immediately inform the Assessing Authority if the casual business closes earlier to the last date of validity of this certificate and shall inform the said atleast 3 working days in advance if he intends to extend such business event. 5. The tax liability statement should be submitted in Form VAT-X. 6. Statement of purchases, sales and unsold stock shall also be submitted at the time of closure of business event. 7. The casual trader shall report regarding his un-sold stock at the last check-post or barrier. *Strike off, if not applicable. Form VAT-X [See rule 33(1)] STATEMENT OF SALES, PURCHASES AND TAX LIABILITY BY A CASUAL TRADER Place : District TIN Number, if any Permission Certificate Number Date: / / 2 0 Name Address 1 2 Address of additional place of business (if any) (A) (B) 3 Nature of casual business event Location of business event 4 5 Period trade of From: / / 2 0 To / / 2 0 Opening stock at the commencement: of the casual trade: Add Purchase on which purchase tax is: leviable: Add Purchase on which VAT is payable: Stock imported subsequently: Total stock: Gross sales : Less Sales of tax free goods Balance: Sales of goods on which VAT is payable: Purchase Value of goods on which: Purchase Tax is payable : Total Taxable Turnover ((14+15) (give rate of tax wise breakup) Total tax liability Closing Stock (10-14+15) Amount of security deposited Balance Tax Payable (17-18) Refund (19-17) Rs. Rs. Rs. Rs. 6 7 8 9 10 Rs. Rs. Rs. Rs. Rs. Rs. Rs. Rs. Rs. Rs. Rs. 11 12 13 14 15 16 17 18 19 20 21 DECLARATION I ______________________ hereby declare that the above statements) are true and complete to the best of my knowledge and belief and nothing has been concealed therefrom Date SIGNATURE AND SEAL OF THE ASSESSING AUTHORITY Encl. 1. Permission Certificate in original. 2. Account Book(s). 3. Statement of unsold stock. 4. Receipt of cash/bank guarantee in original. 31 For Office Use Only 1. I have examined the tax liability statement and accept the same. OR 2. The tax liability statement furnished by the casual Trader examined and the tax liability is determined as under: Rs. Rs. Rs. Rs. Rs. Opening stock at the commencement: of the casual trade: Add Purchase on which purchase tax is: leviable: Add Purchase on which VAT is payable : Stock imported subsequently : Total stock: Gross sales : Less Sales of tax free goods Balance: Sales of goods on which VAT is: payable: Purchase Value of goods on which: Purchase Tax is payable : Total Taxable Turnover (give rate of tax wise breakup) Total tax liability Closing Stock Amount of security deposited Balance Tax Payable Refund (18-16) Rs. Rs. Rs. Rs. Rs. Rs. Rs. Rs. Rs. Rs. Rs. Date SIGNATURE AND SEAL OF THE ASSESSING AUTHORITY Encl. Tax demand notice and challan. Form VAT-XI [See rule 33(4)] Clearance Certificate for casual trader District Permission Certificate No. Certified that the M/s __________________ who was granted permission to conduct business event from _______ to _______. The said casual trader has concluded the casual business event on ____________(dd. mm. yy) and has deposited the tax and penalty, if any, assessed by the undersigned on ____________. The goods, as listed below are allowed to be transported out of State of Himachal Pradesh. S.No. Name of Commodity Value Remarks Signature of the appropriate Assessing Authority (with official stamp and seal) Form VAT-XII [See rule 38(1) and (2)] Form of furnishing particulars of contracts entered into by a contractee with a works contractor or a sub-contractor and application for tax deduction number To The Assessing Authority, Circle______ District_______. I/We ............... contractees/ contractors with the following particulars have entered into works contract(s) detailed below with the contractors/ sub-contractors: - 1. Contractee's identity Name M/s Address Contact No. Deduction No. * (to be filled in case contractee is a registered dealer) 2. Details of works contract(s) entered into 3. I/We do hereby solemnly affirm that I/We am/are authorised to furnish this information and that all its contents are true, correct and complete and nothing has been concealed therefrom; 4. I/We hereby also apply for that tax deduction number under sub-rule (2) of rule Sr. No. Name and complete address of contractor (s)/ sub­contractor TIN (if any) Number, date and name, if any, and nature of works. Total value of works contract and date of award Amount, if any, paid to the contractor/ sub­contractor till the date of making this application Amount deducted from payment in column (7) and (8) and paid (give details) Date Amount Total Value Date of award (1) (2) (3) (4) (5) (6) (7) (8) (9) Total 38 for enabling deduction of tax under section 17 of the Act. Place: Date: [Signature of the contractee] To The Assessing Authority, ___________ Circle, ________ District. (For use in the office of the assessing authority) (1) Date of data entry in the office record/Computer: (2) Signature (with Name) of the official making the date entry: (3) Signature of the assessing authority with Date: (Affix stamp of name and designation) ACKNOWLEDGEMENT The undersigned acknowledges having received the original of this return on the date mentioned below: (1) Date of receipt of return: (2) [Signature with stamp of name and designation or receipt clerk] Footnote: It is to be furnished by the contractee to the appropriate Assessing Authority of the contractor. Form VAT-XIII [See rule 38(5)] Form of return to be furnished by a Contractee Original/Duplicate copy of the return for the Quarter ended on: D D--M M - Y Y Y Y 1. Contractee's identity Name M/s Address Contact No. Deduction No. * (to be filled in case contractee is a registered dealer) 2. Details of works contract(s) against which payments made, tax deductible, deducted and paid: (Attach separate sheet for additional entries, if space is insufficient) 3. Details of tax deposited during the period Sr. Name and TIN Number, Total Amount paid to the Amount No. complete (if date and value of contractor deductible address of any) name, if works during the period @ ----­of total value in column contractor(s) any, and nature of works contract contract During the return period Progressive against (5) which payments made during the period (1) (2) (3) (4) (5) (6) (7) (8) Total Amount of tax deducted and paid each month during the period Paid upto the period 1st Month 2nd Month 3rd Month Total Paid Deducted Paid Deducted Paid Deducted Paid (9) (9.1) (10) (10.1) (11) (11.1) Sr. No. Name of treasury where tax deposited or Bank on which DD/ Pay order drawn Treasury receipt (TR). DD/PO For office use Type of Instrument No. Date Amount DCR No. Date Total Declaration I, ______________________( name in CAPITALS), do hereby solemnly affirm that I am authorised to furnish this return and that all its contents are true, correct and complete and nothing has been concealed therefrom. Place: Date: [Signature of the contractee] (For use in the office of the assessing authority) (1) Date of data entry in the office record/Computer: (2) Signature (with Name) of the official making the data entry: (3) Signature of the assessing authority with Date: (Affix stamp of name and designation) Acknowledgement The undersigned acknowledges having received the original of this return on the date mentioned below: (1) Date of receipt of return: (2) [Signature with stamp of name and designation or receipt clerk] Form VAT-XIV [See rule 39 (1)] DAILY COLLECTION REGISTER Serial Date Name and TIN, Treasury Collection on Account of No. Address of the dealer/ person if any Challan No. and Date and period to which the payment relates Voluntary payment of VAT Purchase tax Tax deduct ed under sectio n 17 1. 2. 3. 4. 5. 6. 7. Continued .......... Additional demand Penalty Interest Fees Composition money Total Signature of dealing hand (8 9. 10. 11. 12. 13. 14. Note:- 1. Serial No. to be started from 01 for each day. 2. The register to be signed by officer incharge of the District at the end of the day. 3. After the close of each month a reconciliation certificate shall be recorded at the end by the Officer incharge of the District. Form VAT-XV [See rule 17(7) and 40 (1)] RETURN FOR THE MONTH/ QUARTER ENDED ON: D D -M M -Y Y 1. Dealer's identity 2. Gross turnover, deductions from gross turnover taxable turnover of sales and computation of tax (See sections 2(ze), 6 and 9 of the Act) 3. Purchase, import and receipt of goods and computation of amount of tax paid on purchases made in the State 4. Aggregate of tax levied on sale or purchases 5. Computation of Input tax credit (See- section 11 ) Name and style of business M/s Address Contact No. Tax Payer's Identi-fication Number Economic Activity Code Permanent Account Number under Income Tax Act Place and circle of Income Tax Assessment: (a) Description (b) Value of goods (c) Lists appended to the return 2A. (1) Sale price received and receivable for goods sold during return period: (2) Value of goods sent within or outside the State otherwise than by way of sale: 2B. Gross turnover [(1) +(2)] 2C. Deductions from Gross Turnover [section 6(3)] (1) Sale of tax-free goods under section 9 LS-1 (2) Sale in the course of inter-State trade or commerce (3) Sale in the course of import into India (4) Sale in the course of export out of India (5) Sales outside the State of goods purchased outside the State (6) Value of goods sent otherwise than by way of sale : ­ (i) in the course of inter-State trade or commerce (ii) in the course of export out the territory of India (iii) to local agents (registered dealers) for sale (7) Total of (1) to (5) 2D. Taxable turnover of sales [2B(b)-2C(7)(b)] 2E. (a)Break-up of 2D according to rate of tax (b) Effect of return of goods and (de­)/escalation [LS-10] (c) Net taxable turnover [(a)+(b)] - (d) rate of tax (e) Tax Amount [(c)x(d)] (1) 1% (2) 4% (3) 12.5% (4) 20% (5) % (6) Total tax amount 3A. (a) Description (b) List append-ed to return (c) Amount (d) Stock as on 31st March last to be given with return for 31/3. Aggregate price/ value of goods, -­ (1) Purchased from registered dealers in the State on tax invoice (including capital goods eligible for input tax credit) LP-1 (2) Purchased from other dealers without tax invoice (3) Purchased in the course of inter-State trade or commerce (4) Purchased in the course of import into India (5) Purchased in the course export out of India (6) Imported into the State (7) Purchased outside the State for sales outside (8) Received for sale from dealers registered in the State (9) Received for sale from dealers outside the State (10) Total [(1) to (9)] 3B. (a) Break-up of 3A(9) according to rate of tax (b) Effect of return goods and of price [LP-2] (c) Net taxable purchases [(a) +/- (b)] (d) Rate of tax (e) Amount of Tax paid [(c) x (d)] (1) 1% (2) 4% (3) 12.5% (4) % (5) Total amount of tax paid on purchases (1) Tax on Sales [2E(6)] (2) Purchase Tax 11(4)(d) Page 3 (3) Total tax [(1) + (2)] (1) Tax paid on purchases made in the State [3B(5)e)] (2) Less tax paid, not part of input tax [10G(3)g Page 3] (3) Input tax credit[ (1)-(2)] 6. Tax payable or adjustable (See section 12) (1) Tax payable [4(3)-5(3)] (2) Amount of Input Tax Credit adjusted under section 12(2) -(3) Amount of input tax credit adjusted under section 12(3) (4) Excess carry forward after (2) or (3) above Date: [Signature of authorised person] 7. Details of tax deposited 8. Account of forms printed under the Government authority/ required to be authenticated by the assessing authority. Sr. No. Name of treasury where tax deposited or bank on which DD/Pay order/ crossed cheque drawn/RAO Treasury receipt For office use Treasury/ Bank Type of instrument No. Date Amount DCR No. Date (1) (2) (3) (4) (5) (6) ------- (by contractee) (7) Excess paid brought forward from last return (8) Total [ (1) to (7)] Serial No. Type of Form Opening stock at the beginning of the return period Blank form received or authenticated during the return period Number of forms used during the return period Aggregate of amount of transactions for which forms used. (1) (2) ST-XXVI-A (out) (3) VAT- (4) C (5) E-1 (6) E-II (7) F (8) H 9. Statutory declarations and certificates received from other dealers furnished with the return Serial No. Type of form No. of forms furnished Aggregate of amount of transactions for which forms furnished Serial No. Type of form No. of forms furnished Aggregate of amount of transactions for which forms furnished (1) STXXVI-A (out) (5) E-1 (2) VAT- (6) E-II (3) C (7) F (4) D (8) H Declaration I,_____________________ (name in CAPITALS), hereby, solemnly affirm that I am authorised to furnish this return and all its contents including tables 10 and 11, lists, statements, declarations, certificates and other documents appended to it or filed with it are true, correct and complete and nothing has been concealed therefrom. Place: Date: [Signature] Status: Tick (v) application [Karta, proprietor, partner, director, president, secretary, manager, authorised officer] (For use in the office of the Assessing Authority) (1) Date of data entry in VAT- register/Computer: (2) Signature of the official making the data entry: (Affix stamp of name & designation) (3) Signature of the Assessing Authority with date: 1. Reference to sections or Schedules of the act in the return is indicative and not comprehensive 2. A dealer who has not dealt goods in the circumstances specified in Tables 10 or 11 during the tax period does not have to fill in the next page of the return. 10. Computation of tax paid in respect of goods purchased in the State from registered dealers on tax invoice but which shall not to form part of input tax credit (See section 11 ) Circumstances in which tax paid in respect of purchase of certain goods not to form part of input tax credit Purchase Value (a) (b) A. All goods except mentioned as purchased from registered dealers on tax invoice when, - (1) used in the telecommunications network, or in the generation and distribution of electricity or other form of power; (2) the tax on their purchase was paid @ 4% or less but such goods are disposed of otherwise than by way of sale and (3) used in manufacture or packing of goods declared a tax­free under section 9 (except when such goods are sold in the course of export out of India): (4) left in stock, whether in the form purchased or in manufactured or processed form, on the day of closure of business or cancellation of the registration certificate (5) made in the circumstances specified in section 11(7)(c) (6) covered by section 11(7)(d) and (e) (7) used for the purpose specified in section 11(7) (j) (8) tax invoice is not available or not issued or original tax invoice issued does not show separate details of tax charged B. Total [(1) to (8)] C. Calculation of input tax at different rates (c) (d) (e) (f) (g) Total (c) to (g) (h) (1) Break-up of A(b) according to tax rate (2) Rate of tax 1% 4% 12.5% % % (3) Input tax to be reversed [(1) x (2)] Note: - Where any goods purchased in the State are used or disposed of partly in the circumstances mentioned in column (a) against entries in A above and partly otherwise, the purchase value of such goods shall be computed pro rata. 11. Purchase tax (See section 6(1) (b) and 8). Circumstances in which purchase tax levied Purchase value of goods taxable at different rates Rate of tax Purchase tax (a) (b) (c) (d) (1) Turnover of goods specified in Schedule 'C' to the Act (2) Turnover of taxable goods purchased in the State without payment of tax when such goods or the goods manufactured therefrom are either exported out of State or used or disposed of (except when sold in the course of export out of India) in a manner that no tax or CST is payable to the State (i) (ii) (3) Total (1) + (2) Note: Where any goods purchased in the State are used or disposed of partly in the circumstances mentioned in column (a) against entries at serial number (2) above and partly otherwise, the purchase tax leviable on such goods shall be computed pro rata. Place: Date: [Signature] Status: Tick (v) application [Karta, proprietor, partner, director, president, secretary, manager, authorised officer] ACKNOWLEDGEMENT Received from M/s____________________________ TIN ________________a return in Form VAT-XV for the month of/ quarter ending ______________alongwith a list in Forms LS-2. Assessing Authority/ Excise and Taxation Inspector, (when posted in circle outside District Headquarters) Circle_________District_______. (SEAL) Date_____________ Form LS-I (See VAT-XV) (See rule 41) Lists of sales to be submitted with return FOR THE MONTH/ QUARTER ENDED ON: 1. Particulars of Business 1.1 Full Name of Applicant (M/s) 1.2 Address of Applicant Pin Tel Fax 1.3 TIN 2. Details of Sales made by the dealer filing the return Sr. No. Customer's Name Address of the customer TIN Value of sales during tax period VAT during tax period Total Declaration: I solemnly declare that to the best of my knowledge and belief, the information given on this form is true and correct Place: Date: [Signature] Status: Tick (v) application [Karta, proprietor, partner, director, president, secretary, manager, authorised officer] Footnote: In this form, the details may be given only party-wise (rather than transaction-wise) for the entire tax period. Form LP-I (See VAT-XV) (See rule 41) Lists of purchases to be submitted with return FOR THE MONTH/ QUARTER ENDED ON: 1. Particulars of Business 1.1 Full Name of Applicant (M/s) 1.2 Address of Applicant Pin Tel Fax 1.3 TIN 2. Details of purchases made by the dealer filing the return Sr. No. Seller' s Name Address of the seller TIN Value of purchases during tax period VAT during tax period Total Declaration: I solemnly declare that to the best of my knowledge and belief, the information given on this form is true and correct Place: Date: [Signature] Status: Tick (v) application [Karta, proprietor, partner, director, president, secretary, manager, authorised officer] Footnote: In this form, the details may be given only party-wise (rather than transaction-wise) for the entire tax period. Form VAT-XV-A [See rule 40 (5) ] RETURN FOR THE YEAR ENDED ON: D D - M M - Y Y 1. Dealer's identity Name and style of business M/s Address Contact No. Tax Payer's Identification Number Economic Activity Code Permanent Account Number under Income Tax Act Place and circle of Income Tax Assessment: 2. Gross turnover, deductions from gross turnover taxable turnover of sales and computation of tax (See sections 2(ze), 6 and 9 of the Act) 3. Purchase, import and receipt of goods and computation of amount of tax paid on purchases made in the State 4. Aggregate of tax levied on sale or purchases 5. Computation of Input tax credit (See- section 11 ) (a) Description (b) Value of goods (c) Lists appended to the return 2A. (1) Sale price received and receivable for goods sold during return period: (2) Value of goods sent within or outside the State otherwise than by way of sale: 2B. Gross turnover [(1) +(2)] 2C. Deductions from Gross Turnover [section 6(3)] (1) Sale of tax-free goods under section 9 LS-1 (2) Sale in the course of inter-State trade or commerce (3) Sale in the course of import into India (4) Sale in the course of export out of India (5) Sales outside the State of goods purchased outside the State (6) Value of goods sent otherwise than by way of sale : ­ (i) in the course of inter-State trade or commerce (ii) in the course of export out the territory of India (iii) to local agents (registered dealers) for sale (7) Total of (1) to (5) 2D. Taxable turnover of sales [2B(b)-2C(7)(b)] 2E. (a)Break-up of 2D according to rate of tax (b) Effect of return of goods and (de­)/escalation [LS-10] (c) Net taxable turnover [(a)+(b)] - (d) rate of tax (e) Tax Amount [(c)x(d)] (1) 1% (2) 4% (3) 12.5% (4) 20% (5) % (6) Total tax amount 3A. (a) Description (b) List append-ed to return (c) Amount (d) Stock as on 31st Mar. last to be given with return for 31/3. Aggregate price/ value of goods, -­ (1) Purchased from registered dealers in the State on tax invoice (including capital goods eligible for input tax credit) LP-1 (2) Purchased from other dealers without tax invoice (3) Purchased in the course of inter-State trade or commerce (4) Purchased in the course of import into India (5) Purchased in the course export out of India (6) Imported into the State (7) Purchased outside the State for sales outside (8) Received for sale from dealers registered in the State (9) Received for sale from dealers outside the State (10) Total [(1) to (9)] 3B. (a) Break-up of 3A(9) according to rate of tax (b) Effect of return goods and of price [LP-2] (c) Net taxable purchases [(a) +/- (b)] (d) Rate of tax (e) Amount of Tax paid [(c) x (d)] (1) 1% (2) 4% (3) 12.5% (4) % (5) Total amount of tax paid on purchases (1) Tax on Sales [2E(6)] (2) Purchase Tax 11(4)(d) Page 3 (3) Total tax [(1) + (2)] (1) Tax paid on purchases made in the State [3B(5)e)] (2) Less tax paid, not part of input tax [10G(3)g Page 3] (3) Input tax credit[ (1)-(2)] 6. Tax payable or adjustable (See section 12) (1) Tax payable [4(3)-5(3)] (2) Amount of Input Tax Credit adjusted under section 12(2) (3) Amount of input tax credit adjusted under section 12(3) (4) Excess carry forward after (2) or (3) above Date: [Signature of authorised person] 7. Details of tax deposited 8. Account of forms printed under the Government authority/ required to be authenticated by the assessing authority. Sr. No. Name of treasury where tax deposited or bank on which DD/Pay order/ crossed cheque drawn Treasury receipt For office use Treasury/ Bank Type of instrument No. Date Amount DCR No. Date (1) (2) (3) (4) (5) (6) ------- (by contractee) (7) Excess paid brought forward form last return (8) Total [ (1) to (7)] Serial No. Type of Form Opening stock at the beginning of the return period Blank form received or authenticated during the return period Number of forms used during the return period Aggregate of amount of transactions for which forms used. (1) (2) ST-XXVI-A (out) (3) VAT- (4) C (5) E-1 (6) E-II (7) F (8) H 9. Statutory declarations and certificates received from other dealers furnished with the return Serial No. Type of form No. of forms furnished Aggregate of amount of transactions for which forms furnished Serial No. Type of form No. of forms furnished Aggregate of amount of transactions for which forms furnished (1) STXXVI-A (out) (5) E-1 (2) VAT- (6) E-II (3) C (7) F (4) D (8) H Declaration I,_____________________ (name in CAPITALS), hereby, solemnly affirm that I am authorised to furnish this return and all its contents including tables 10 and 11, lists, statements, declarations, certificates and other documents appended to it or filed with it are true, correct and complete and nothing has been concealed therefrom. Place: Date: [Signature] Status: Tick (v) applicable [Karta, proprietor, partner, director, president, secretary, manager, authorised officer] (For use in the office of the Assessing Authority) (3) Date of data entry in VAT- register/Computer: (4) Signature of the official making the data entry: (Affix stamp of name & designation) (3) Signature of the Assessing Authority with date: 1. Reference to sections or Schedules of the act in the return is indicative and not comprehensive 3. A dealer who has not dealt goods in the circumstances specified in Tables 10 or 11 during the tax period does not have to fill in the next page of the return. 10. Computation of tax paid in respect of goods purchased in the State from registered dealers on tax invoice but which shall not to form part of input tax credit (See section 11 ) Circumstances in which tax paid in respect of purchase of certain goods not to form part of input tax credit Purchase Value (a) (b) A. All goods except mentioned as purchased from registered dealers on tax invoice when, - (1) used in the telecommunications network, or in the generation and distribution of electricity or other form of power; (2) the tax on their purchase was paid @ 4% or less but such goods are disposed of otherwise than by way of sale and (3) used in manufacture or packing of goods declared a tax­free under section 9 (except when such goods are sold in the course of export out of India): (4) left in stock, whether in the form purchased or in manufactured or processed form, on the day of closure of business or cancellation of the registration certificate (5) made in the circumstances specified in section 11(6)(c) (6) covered by section 11(6)(d) and (e) (7) used for the purpose specified in section 11(6) (j) (8) tax invoice is not available or not issued or original tax invoice issued does not show separate details of tax charged B. Total [(1) to (8)] C. Calculation of input tax at different rates (c) (d) (e) (f) (g) Total (c) to (g) (h) (1) Break-up of A(b) according to tax rate (2) Rate of tax 1% 4% 12.5% % % (3) Input tax to be reversed [(1) x (2)] Note: - Where any goods purchased in the State are used or disposed of partly in the circumstances mentioned in column (a) against entries in A above and partly otherwise, the purchase value of such goods shall be computed pro rata. 11. Purchase tax (See section 6(1) (b) and 8). Circumstances in which purchase tax levied Purchase value of goods taxable at different rates Rate of tax Purchase tax (a) (b) (c) (d) (1) Turnover of goods specified in Schedule 'C' to the Act (2) Turnover of taxable goods purchased in the State without payment of tax when such goods or the goods manufactured (i) therefrom are either exported out of State or used or disposed of (except when sold in the course of export out of India) in a manner that no tax or CST is payable to the State (ii) (3) Total (1) + (2) Note: Where any goods purchased in the State are used or disposed of partly in the circumstances mentioned in column (a) against entries at serial number (2) above and partly otherwise, the purchase tax leviable on such goods shall be computed pro rata. Place: Date: [Signature] Status: Tick (v) application [Karta, proprietor, partner, director, president, secretary, manager, authorised officer] Form VAT-XV-B [See rule 40 (6)] Form of annual commodity wise tax return to be furnished by a registered dealer other than a dealer paying lumpsum by way of composition under section 16(2) D D-M M-Y Y Original/Duplicate copy of return for the quarter/year ended on: 1. Dealer's identity 2. Sale of goods sold for the first time in the State at full rate of tax Name and style of business M/s Address Contact No. TIN Economic Activity Code Serial No. DescriptionCommodity of Code as per Schedule-II Taxable Turnover Breakup of taxable turnover according to rates of tax @ % @ % @ % @ % Total Declaration I, ____________ (name in CAPITALS), hereby, solemnly affirm that I am authorised to furnish this return and that all its contents are true and correct and nothing has been concealed therefrom. Place: Date: [Signature] Status: Tick (v) application [Karta, proprietor, partner, director, president, secretary, manager, authorised officer] (For use in the office of the assessing authority) (1) Date of data entry in the office record/Computer. (2) Signature of the official making the data entry: (Affix stamp of name & designation) (3) Signature of the assessing authority with date: (Affix stamp of name & designation) ACKNOWLEDGEMENT Received from M/s____________________________ TIN ________________a return in Form VAT-XV-B for the quarter/ year ending ______________. Assessing Authority/ Excise and Taxation Inspector, (when posted in circle outside District Headquarters) Circle_________District_______. (SEAL) Form VAT-XV-C [See rule 42 /43] RETURN OF TAX REALISED IN CONTRAVENTION OF THE PROVISIONS OF SECTION 20 FOR THE MONTH ENDED ON 1.. Name of the Dealer 2. TIN, if any 3. Total amount of tax collected Rs. 4. Amount paid by means of Treasury challan /cheque/Draft No. Date. 5. Balance due/ excess paid, if any Rs. I______________ solemnly affirm and declare that the statements made and particulars furnished in and with this return are true and complete to the best of my knowledge and belief and nothing has been concealed therefom. Place:.... Daee.... Full signatures of the dealer or authorised agent. Status: Tick (v) applicable [Karta, proprietor, partner, director, president, secretary, manager, authorised officer] (For use in the office of the Assessing Authority) (1) Date of data entry in VAT- register/Computer: (2) Signature of the official making the data entry: (Affix stamp of name and designation) (3) Signature of the Assessing Authority with date: ACKNOWLEDGEMENT Received from M/s____________________________ TIN _____________________a return in Form VAT-XV-C of tax payable under section 20 for the month of______________alongwith a list in Forms LS-2. Assessing Authority/ Excise and Taxation Inspector, (when posted in circle outside District Headquarters) Circle_________District_______. (SEAL) Date_____________ Form LS-3 [See VAT XV-C] LIST OF PERSONS FROM WHOM TAX WAS REALISED IN CONTRAVENTION OF PROVISIONS OF SECTION 20 FOR THE MONTH ENDED ON 1. Name and address of the dealer 2. TIN, if any Sl No. Name and complete address of the person from whom tax was realised Retail invoice/ Cash memo/bill No. with date Description goods sold of 1. 2. 3. 4. Value of goods sold Tax realizable under the law Tax realised Amount realised in excess 5. 6. 7. 8. Place:.... Daee.... Full signatures of the dealer or authorised agent. Status: Tick (v) applicable [Karta, proprietor, partner, director, president, secretary, manager, authorised officer] Form VAT-XV-D [See rule 46(4)] Form of return to be furnished by a Bricks Kiln owner D D -M M - Y Y Original/Duplicate copy of return for the quarter ended on: 1. Dealer's identity Name and style of business M/s Address Contact No. TIN Economic Activity Code 2. Category and capacity of Kiln Cate- Number Lump- Month kiln(s), the lumpsum number gory of sum from payable and in case of Ghoris payable which option during the year and lump addition of new kiln(s) sum during the year, the month payable from which the lumpsum is payable. 1st Kiln IInd Kiln IIIrd Kiln IVth Kiln Total 3. Details of tax deposited 4. Account of forms printed under the Government authority. Sr. No. Name of treasury where tax deposited or Bank on which DD / Pay order drawn Treasury receipt(TR)/DD/PO For office use Type of inst-rument No. Date Amount DCR No. Date Excess paid brought forward from last return Total Sr. No. Type of Form Opening stock at the beginning of the return period Blank forms received or authenticated Forms used during the return period during the return period No. Aggregate of amount of transactions for which forms used (1) C 5. Aggregate price of goods purchased in the course of Inter-State trade against 'C' Forms Declaration I, _____________(name in CAPITALS), hereby, solemnly affirm that I am authorised to furnish this return and all its contents including tables, lists, statements, declarations, certificate and other documents appended to it for filled with it, are true, correct and complete and nothing has been concealed therefrom. Place: Date: {Signature} Status: Tick (v) applicable [Karta, proprietor, partner, director, president, secretary, manager, authorised officer] (For use in the office of the Assessing Authority) (1) Date of data entry in computer (2) Signature of the official making the data entry: (Affix stamp of name and designation) (3) Signature of the assessing authority with date: (Affix stamp of name and designation) ACKNOWLEDGEMENT Received from M/s____________________________ TIN _____________________a return in Form VAT-XV-D of tax payable under section 20 for the month of______________alongwith a list in Forms LS-2. Assessing Authority/ Excise and Taxation Inspector, (when posted in circle outside District Headquarters) Circle_________District_______. (SEAL) Date_____________ Form VAT-XV-E [See rule 47 (5)] Form of return to be furnished by a Lottery Dealer D D -M M - Y Y Original/Duplicate copy of return for the quarter ended on: 1. Dealer's identity 2. Details of draws during the tax period and tax payable thereon-- Name and style of business M/s Address Contact No. TIN Economic Activity Code Serial No. Type of Dealer No. of draws during the tax period Lump sum tax payable in respect of each draw during the tax period (1) Daily lottery (2) Weekly lottery (3) Monthly lottery (4) Festival lottery (5) Instant lottery Total Tax payable = Paid = Note: Date-wise details of each type of draw are attached separately as per Annexure(s) 3. Account of forms printed under the Government authority or required to be authenticated by Assessing Authority 4. Aggregate price of goods purchased in the course of inter state trade against 'C' Forms Serial No. Type of Form Opening stock at the beginning of the return period Blank forms received or authenticated during the return period Number of Form used during the return period Number of forms in stock at the end of return period (1) VAT- (2) C Declaration I, _____________(name in CAPITALS), hereby, solemnly affirm that I am authorised to furnish this return and all its contents lists, statements, declarations, certificate annexed to it or filled with it are true, correct and complete and nothing has been concealed therein Place: Date: {Signature} Status: Tick (v) applicable [Karta, proprietor, partner, director, president, secretary, manager, authorised officer] (For use in the office of the Assessing Authority) (1) Date of data entry in VAT-XVII register/ computer (2) Signature of the official making the data entry: (Affix stamp of name and designation) ACKNOWLEDGEMENT Received from M/s____________________________ TIN _____________________a return in Form VAT-XV-D of tax payable under section 20 for the month of______________alongwith a list in Forms LS-2. Assessing Authority/ Excise and Taxation Inspector, (when posted in circle outside District Headquarters) Circle_________District_______. (SEAL) Date_____________ Annexure to return in form VAT- XV-E Date-wise details of Daily/Weekly/Monthly/Festival and Instant Draw during the period .. to .. Sr. Date Name of Number Rate Tax Date of TR no. or DCR No. of organizer(s) of of Pay- payment DD No. No. Draw of the draw draws lump- Able Alongwith and on the date sum per draw the name of Bank date (to be filled by the office) Due Actual Total Declaration I, ______________ (name in CAPITALS), hereby, solemnly affirm that I am authorised to sign this annexure and the details given in it are true and correct. Place: Date: [Signature] Status: Tick (v) applicable {Karta, proprietor, partner, director, president, secretary, manager, authorised officer] Note: Separate statements to be attached for each type of draw. Place: Signature of the Dealer or his authorised agent Date: Form VAT-XV-F [See rule 48 (6)] Form of return to be furnished by the Works Contractor under section 16(2) D D - M M -Y Y Original/Duplicate copy of return for the quarter ended on : 1. Dealer's identity 2. Details of execution of works contract and computation of lumpsum payable 3. Details of tax deducted at source by the contractee(s) in respect of contracts in 2 above. 4. Tax payable [2 (g)-3(e)] Name and style of business M/s Address Contact No. TIN * Economic Activity Code Sr. No. Number, date and name, if any, and nature of works Name and compete address of Total value of works Amount receivable Lumpsum payable @____ of (e) contract under execution during the tax period the contractee(s) contract During the tax return period Progressive (a) (b) (c) (d) (e) (f) (g) Total Name of the contractee Name of Treasury Treasury Receipt No. Date Amount ` (a) (b) (c) (d) (e) Total Rs. 5. Details of tax deposited Sr. No. Name of treasury where tax deposited or Bank on which DD/ Pay order drawn Treasury receipt (TR)/ DD/ PO For office use Type of instrument No. Date Amount DCR No. Date Excess paid brought forward from last return- Total Date: [Signature of Authorised Person] 6. Value of goods purchased in the State from registered dealers 7. Value of goods purchased in the course of nter-State trade or commerce. 8. Value of goods imported into the State 9. Account of forms printed under the Government authority / required to be authenticated by the Assessing Authority 10. Statutory declarations and certificates received from other dealers furnished with the return Sr. No. Type of Form Opening stock at the beginning of the return period Blank forms received or authenticated during Number of form used during the return period Aggregate of amount of transactions for which forms used (1) VAT- (2) C (3) F Sr. No. Type of form No. of forms furni-shed Aggregate of amount of transactions for which forms furnished (1) VAT- (2) C (3) D Declaration I, ________________(name in CAPITALS), hereby, solemnly affirm that I am authorised to furnish this return and that all its contents including table lists, statements, declarations, certificates and other documents appended to it or filed with it are true, correct and complete and nothing has been concealed therefrom. Place: Date: {Signature} Status: Tick (v) applicable [Karta, proprietor, partner, director, president, secretary, manager, authorised officer] (For use in the office of the Assessing Authority) (1) Date of data entry in computer (2) Signature of the official making the data entry: (Affix stamp of name and designation) (3) Signature of the assessing authority with date: (Affix stamp of name and designation) ACKNOWLEDGEMENT Received from M/s____________________________ TIN _____________________a return in Form VAT-XV-F of tax payable under section 20 for the month of______________alongwith a list in Forms LP-1. Assessing Authority/ Excise and Taxation Inspector, (when posted in circle outside District Headquarters) Circle_________District_______. (SEAL) Date_____________ Form VAT-XV-G [See rule 49(3)] Form of return to be furnished by a Halwai, Dhaba-wala, Loh-wala or Chat-wala D D -M M - Y Y Original/Duplicate copy of return for the year ended on : 1. Dealer's identity 2. Number of Bhattis used or workers engaged during each month of the return period and computation of tax payable 3. Details of tax deposited 4. Account of forms printed under the Government authority or required to be authenticated by Assessing Authority. Name and style of business M/s Address Contact No. TIN Economic Activity Code Month Apr. May. Jun. Jul. Aug. Sept. Oct. Nov. Dec. Jan. Feb. Mar. No. of Bhatti Tax pay-able Tax pay-able Quarter Total Quarter Total Quarter Total Quarter Total Names of workers engaged Sr. No. Name of treasury where tax deposited or Bank on which DD / Pay order drawn. Treasury receipt(TR)/DD/PO For office use Type of inst-rument No. Date Amount DCR No. Date Excess paid brought forward from last return Total Sr. No. Type of Form Opening stock at the beginning of the return Blank forms received or authenticated Forms used during the return period period during the return period No. Aggregate of amount of transactions for which forms used (1) VAT (2) C Declaration I, _____________(name in CAPITALS), hereby, solemnly affirm that I am authorised to furnish this return and all its contents lists, statements, declarations, certificate annexed to it or filled with it are true, correct and complete and nothing has been concealed therein Place: Date: {Signature} Status: Tick (v) applicable [Karta, proprietor, partner, director, president, secretary, manager, authorised officer] (For use in the office of the Assessing Authority) (1) Date of data entry in VAT-G8 register/ computer (2) Signature of the official making the data entry: (Affix stamp of name and designation) (3) Signature of the assessing authority with date: (Affix stamp of name and designation) ACKNOWLEDGEMENT Received from M/s____________________________ TIN _____________________a return in Form VAT-XV-G for the year ______. Assessing Authority/ Excise and Taxation Inspector, (when posted in circle outside District Headquarters) Circle_________District_______. (SEAL) Date_____________ FORM VAT-XV-H [See rule 50(4)] Form of return to be furnished by a Retail-sale dealer paying the lumpsum under sections 16(2) D D-M M-Y Y Original/Duplicate copy of return for the quarter ended on : 1. Dealer's identity 2. Lumpsum payable on purchases of taxable goods during the return period 3. Details of tax deposited 4. Account of forms printed under the Government authority/ required to be authenticated by the assessing authority 5. Statutory declarations in Form C or Form F furnished with the return and No of Forms amount of transactions for which forms Amount of Transactions furnished. Name and style of business M/s Address Contact No. TIN Taxable turnover (a) Amount of tax (b) From registered dealers in the State ach month 1st 2nd 3rd Sr. No. Name of treasury where tax deposited or Bank on which DD/ Pay order drawn/RAO Treasury receipt (TR)/DD/PO For office use Type of Instrument No. Date Amount DCR No. Date Excess paid brought forward from last return. Total Sr. No. Type of Form Opening stock at the beginning of the return period Blank forms received or authenticated during the return period Number of forms used during the return period Aggregate of amount of transaction for which forms used (1) VAT (2) (3) Declaration I, _____________(name in CAPITALS), hereby, solemnly affirm that I am authorised to furnish this return and all its contents including tables, lists, statements, declarations, certificate and other documents appended to it for filled with it are true, correct and complete and nothing has been concealed therefrom. Place: Date: {Signature} Status: Tick (v) applicable [Karta, proprietor, partner, director, president, secretary, manager, authorised officer] (For use in the office of the Assessing Authority) (1) Date of data entry in computer (2) Signature of the official making the data entry: (Affix stamp of name and designation) (3) Signature of the Assessing Authority with date: (Affix stamp of name and designation) ACKNOWLEDGEMENT Received from M/s____________________________ TIN _____________________a return in Form VAT-XV-H for the quarter__________. Assessing Authority/ Excise and Taxation Inspector, (when posted in circle outside District Headquarters) Circle_________District_______. (SEAL) Date_____________ FORM VAT- XVI [See rule 2 (b)] Before ......... In re: - ......... dealer/appellant. Versus ....(designation of the authority passing the order). Know all men by these presents that I/We ......son of ..........r/o ........ hereby appoint ..... to be my/our agent in the above mentioned case, to do all the following Acts, deeds or things or any of them that is to say: - (i) to act, represent the dealer, appear and plead in the above mentioned cause before (Name of Authority .....authority by whom the same may be heard in the first instance/in appeal/revision in any stage of its progress until finalisation/decision; (ii) to present appeals/review/revision, cross objection and plead, withdraw or compromise, and present affidavit or other document as shall be deemed necessary or advisable for the prosecution of the said cause in all its stages appeal/review/revision; and (iii) to receive and acknowledge adjournment notice(s) and further notice(s) in the said cause and to do all other acts and things including inspection of record of dealer under the Act and the rules framed thereunder, which may be necessary to be done for the prosecution of the cause. AND I/We hereby agree that all acts, deeds and things lawfully done by my/our said agent shall be construed as acts, deeds and things done by me/us and I/we undertake to satisfy and confirm all and what-so-ever that my/our said agent shall lawfully do or cause to be done for me/us by virtue the power hereby given. IN WITNESS WHERE OF I/we here unto set my/our hands to these presents, this the ..........day of .......200 Signature and full name of the dealer. TIN ........... Full address......... Accepted: Signature and full name and address of the agent Form VAT-XVII [See rule 42] DEMAND AND COLLECTION REGISTER District Name of the dealer: Address: TIN: AMOUNT COLLECTED/ PAID UNDER SECTION 16 Financial Year Amount paid on account of FIRST QUARTER T.R. No. and Date SECOND QUARTER T.R. No. and Date April Rs. May Rs. June Rs. July Rs. Aug utst Rs. Septe mber Rs. 1. 2. 3(a) (b) (c) 4. 5(a) (b) (c) 6. Value Added Tax Purchase Tax Interest Penalty Composition money Other AMOUNT ASSESSED UNDER SECTION 21 OR 22 THIRD QUARTER T.R. No. and Date May FOURTH QUARTER T.R. No. and Date Total (3+5+ 7+9) Gross demand assessed Bala­nce Dem­and recov erable T.R. No. And date Initials of Asses­sing Autho­rity Octo ber Rs. Novem ber Rs. Dec emb er Rs. Janu ary Rs. Febr uary Rs. March Rs. Rs. Rs. Rs. 7(a) (b) (c) 8. 9(a) (b) (c) 10. 11. 12. 13. 14. 15. Form VAT-XVIII [See rule 52(4)] TAX INVOICE FOR PURCHASER TRANSPORTER'S COPY SELLER'S COPY Name: Address: Serial No. Date TIN Valid From: _______________________________________________________ Purchaser's Particulars: Sl.No. Qty. Description of goods Price per unit Value of goods 1% 4% 12.5% Total 1. 2. 3. Total of 1 to 3 (Price of goods without VAT) Value Added Tax Total price (price of goods + VAT) GR No. Name and address of Transport Co. Signature of the dealer or authorised agent (with seal) Status: Tick (v) applicable [Karta, proprietor, partner, director, president, secretary, manager, authorised agent ] FORM VAT-XIX [See rule 53(3)] RETAIL INVOICE FOR PURCHASER SELLER'S COPY Name: Address: Serial No. Date TIN Valid From: _______________________________________________________ Purchaser's Particulars: Sl.No. Qty. Description of goods Price per unit Value of goods 1% 4% 12.5% Total 1. 2. 3. Total of 1 to 3 (Price of goods without VAT) Value Added Tax Total price (price of goods + VAT) GR No. Name and address of Transport Co. Signature of the dealer or authorised agent (with seal) Status: Tick (v) applicable [Karta, proprietor, partner, director, president, secretary, manager, authorised agent ] FORM VAT-XX [See rule 54] CASH MEMO FOR PURCHASER SELLER'S COPY Name: Address: Serial No. Date TIN Valid From: ____________________________________________________________________ Purchaser's Particulars: Sl.No. Qty. Description of goods Price per unit Value of goods @ @ @ Total 1. 2. 3. Total of 1 to 3 __________ Tax Total price (price of goods + tax) GR No. Name and address of Transport Co. Signature of the dealer or authorised agent (with seal) Status: Tick (v) applicable [Karta, proprietor, partner, director, president, secretary, manager, authorised agent ] FORM VAT- XXI [See rule 55(3)] CREDIT/DEBIT NOTE FOR PURCHASER SELLER'S COPY Name: Address: Serial No. Date TIN Valid From: _______________________________________________________ 2. Purchaser's Particulars: 3. Particulars: hereby modified vide (h) or (i) Other explanation Signature of the dealer or authorised agent (with seal) Status: Tick (v) applicable [Karta, proprietor, partner, director, president, secretary, manager, authorised agent] FORM VAT- XXII [See rule 59(1)] TRANSPORT RECEIPT From_________________________ To____________________________ Delivery from____________________ Delivery at ___________________ Consignor with complete address _________________________________ TIN ______________________________________ The Himachal Pradesh Value Added Tax Act,2005._________________________________ _________________________________________ The Central Sales Tax Act, 1956______________ TIN ____________________________________ Consignee with complete address __________________________________ The Himachal Pradesh Value Added Tax Act, 2005____________________________________ The Central Sales Tax Act, 1956______________ No. packing of Method packing of Contents declared as Value Private mark, if any 1. 2. 3. 4. 5. Weight Rate Total freight Freight paid/to pay Remarks Actual Charged Rs. P. 6. 7. 8. 9. 10. 11. Signature of the Manager/Booking Clerk. Name of Transport Company/Booking Agency. 82 FORM VAT-XXII-A [See rules 59(1) and 60(2) (b)] FORWARDING NOTE To The Manager/incharge Name of Transport Co./ Booking Agency Please receive the undermentioned and forward by Road Transport to ...... as consigned below: - By whom consigned To whom consigned Name Address Name Address Place 1. 2. 3. 4. 5. Nature goods of Numberarticles of Value Description and private marks Senders Weight Q. Kgs. 6. 7. 8. 9. 10. I do hereby certify that I have satisfied myself that the description/marks and weight or quantity of goods consigned by me have been correctly entered in this forwarding note. Signature of the sender or his authorised agent Date.... Address...... continued To be filled by the transporter Actual Weight Weight Charged No. of articles Transport receipt No. Date 11. 12. 13. 14. 15. Signature of the Manager/Booking Clerk. Name of Transport Company/Booking Agency. FORM VAT-XXII-B [See rule 59 (1)] WAY-BILL Vehicle No. _________ Name of Driver _____________ Owner_______ From __________________ To __________________ Sr. No. Transport No. Receipt Destination Contents 1. 2. 3. 4. Weight Q. Kgs. Freight paid Rs. P. Freight to be paid Rs. P Previous freight Rs. P. Remarks 5. 6. 7. 8. 9. Signature to the Driver Booking Clerk Loading Clerk FORM VAT-XXII-C [See rule 59 (1)] DESPATCH REGISTER (TO BE MAINTAINED BY THE TRANSPORTERS Date From To No. of packages alongwith the method of packing Nature goods of 1. 2. 3. 4. 5. Value of goods Name and complete address of the consignor with TIN. under the Himachal Pradesh Value Added Tax Act, 2005/ the Central Sales Tax Act, 1956. Name and complete address of the consignee with TIN under the Value Added Tax Act, 2005 / the Central Sales Tax Act, 1956. 6. 7. 8. Transport Receipt No. Challan No. Vehicle No. Freight Charged Date of movement of goods Remarks 9. 10. 11. 12. 13. 14 FORM VAT-XXIII [See rules 59(3) (c)] BILTY REGISTER (TO BE MAINTAINED BY THE DEALER) INWARD T.P.T.R./ P.R.R. No. Invoice No. with date Nature of goods Value of goods Vehicle No. 1. 2. 3. 4. 5. Name and complete address of the consignee with TIN. under the Himachal Pradesh Value Added Tax Act, 2005 / Central Sales Tax Act, 1956. From No. of packages alongwith the method of packings Actual weight Weight charged for Rate 6. 7. 8. 9. 10. 11. Date of receipt of goods Freight paid Name Co. of transport Signature of the official of the transport Co. with stamp Remarks 12. 13. 14. 15. 16. FORM VAT-XXIII-A [See rules 59(3) (c)] BILTY REGISTER (TO BE MAINTAINED BY THE DEALER) OUTWARD T.P.T.R./ P.R.R. No. Invoice No. with date Nature of goods Value of goods Vehicle No. 1. 2. 3. 4. 5. Name and complete address of the consignee with TIN. under the Himachal Pradesh Value Added Tax Act, 2005 / Central Sales Tax Act, 1956. To No. of packages alongwith the method of packings Actual weight Weight charged for Rate 6. 7. 8. 9. 10. 11. Date of despatch of goods Freight paid Name Co. of transport Signature of the official of the transport Co. with stamp Remarks 12. 13. 14. 15. 16. FORM VAT-XXIV [See rule 59 (1)] DELIVERY REGISTER TO BE MAINTAINED BY THE TRANSPORTERS Sl. No. Date delivery of Station transport of Transport receipt No. Name of the Transport Co. 1. 2. 3. 4. 5. Name and complete address of the consignor with TIN. under the Himachal Pradesh Value Added Tax Act, 2005/ the Central Sales Tax Act, 1956. Name and complete address of the consignee with TIN under the Value Added Tax Act, 2005 / the Central Sales Tax Act, 1956. No. of packages alongwith method of packing 6. 7. 8. Nature of goods . Value of goods Freight Charged Commission Total Name, signature and address of the consignee/ authorised person taking delivery of goods Date on which bilty register of the consignee signed by the transporter 9. 10. 11. 12. 13. 14 FORM VAT-XXV [See rule 60 (2) (d)] BILTY REGISTER (TO BE MAINTAINED BY THE DEALER) INWARD T.P.T.R./ P.R.R. No. Invoice No. with date Nature of goods Value of goods Vehicle/ Wagon No. 1. 2. 3. 4. 5. Name and complete address of the consignee with TIN under the Himachal Pradesh value Added Tax Act, 2005 Central Sales Tax Act, 1956. From No. of packages alongwith the method of packing Actual weight Weight charged for Rate 6. 7. 8. 9. 10. 11. Freight Paid. To pay Date of receipt of goods Name of Transport Co. Signature of the official of the transport Co. with stamps. Remarks 12. 13. 14. 15. 16. FORM VAT-XXV-A [See rule 60 (2) (d)] BILTY REGISTER (TO BE MAINTAINED BY THE DEALER) OUTWARD T.P.T.R./ P.R.R. No. Invoice No. with date Nature of goods Value of goods Vehicle/ Wagon No. 1. 2. 3. 4. 5. Name and complete address of the consignee with TIN under the Himachal Pradesh value Added Tax Act, 2005 Central Sales Tax Act, 1956. To No. of packages alongwith the method of packing Actual weight Weight charged for Rate 6. 7. 8. 9. 10. 11. Freight Paid. To pay Date of despatch of goods Name of transport Co. Signature of the official of the Transport Co. with stamps. Remarks 12. 13. 14. 15. 16. FORM VAT- XXVI [See rule 61 (1)] 1. Name and complete address of the consignor 2. TIN of the consignor under the Himachal Pradesh Value Added Tax Act, 2005 and the Central Sales Tax Act, 1956, if any 3. Name and complete address of the consignee 4. TIN of the consignee under the Himachal Pradesh Value Added Tax Act, 2005/Central Sales Tax Act, 1956, if any. 5. Place of despatch 6. Place of destination 7. Description of goods 8. Quantity (Weight) 9. Approximate value 10. Vehicle number Name of the check-post/barrier______________________________ Date: ___________________ Signature or thumb impression of the person transporting the goods. Date_________________________ FORM VAT-XXVI-A [See rule 61 (1)] DECLARATION Original Duplicate Triplicate 1. Form No. .......... Name ............ 2. CONSIGNOR: Full address.......... TIN (VAT/CST). ......... 3. Consigned from : Place ............. 4. CONSIGNEE: Name ............ Full address.......... TIN (VAT/CST). ......... 5. Destination of Goods..................... 6. Vehicle No. ......... Name of Transport Co. ....... 7. Value of Goods: Rs......G.R. No. ............. 8. Details of Goods (Give details overleaf in case of Multiple Bills) Bill No. Date Aggregate value of goods Rs. P. Brief Description of Goods. 1. 2. 3. 4. Signature of Officer-in-charge of the Signature or thumb impression, name Check Post/Barrier with stamp to be and address of the person appended after the checking. transporting the goods. Name of the check-post/barrier. Date _________________________ Date ______________________ Note.-- 1. The complete bill of lading is to be in the hand of the person carrying the goods at the check-post or barrier. 2. Please see instructions *overleaf. Bill No. Date of Bill Value of goods Brief description of goods Total value of goods: INSTRUCTIONS A. Guidelines for filling the CST/ VAT TIN 1. If un-registered Dealer : District .....UNR.blank. 2. If applied for District .......AFR-blank. registration 3. If registered District No. ...... B. Tick (v) wherever applicable; FT= Goods for Trade IM= Goods Imported NT=Goods Not for Trade EX= Goods Exported GC=Government Goods RE= Goods RE-Entered. FORM VAT- XXVI-B [See rule 61 (8)] Register to be maintained by dealers who obtain declaration in Form-VAT XXVI-A from the Assessing Authority. Particulars of receipt Particulars of utilisation Date Total Serial Date Serial Descrip- Quantity Bill/ Value Rem Number No. No. of tion of Cash of -arks From Form goods Memo/ goods To used challan No. And date 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. FORM VAT-XXVI-C [See rule 62 (12)] Register of receipt and issue of declaration forms to be maintained by the Assessing Authority. Receipt of forms Serial No. Date Authority from whom received with No. and date of letter under which received Total number of forms From To 1. 2. 3. 4. 5. Issue of forms Serial No. Date Name and address of the dealer to whom issued TIN, if any Number of forms issued From To 6. 7. 8. 9. 10. 11. Signature of the Receipt No. and Signature of Remarks recipient date of payment Assessing of price of forms Authority 12. 13. 14. 15. FORM VAT-XXVI-D [See rule 62(2) and (13)] Statement showing details of Forms VAT- XXVI-A in respect of registered dealers received at _________________(Name of the check-post or barrier) Date Sl. No. Vehicle No. in which the Goods were transported. VAT­.XXVI-A declaration form No. Name of the dealer exporting /importing the goods. 1. 2. 3. 4. 5. Value of goods Initials of the Excise and Taxation Inspector on duty Page of form VAT-XXVI-F at which posted Initial of the clerk posting the entries of form VAT- XXVI-A 6. 7. 8. 9. Signature of the officer-in-charge of check-post or the barrier. No________________ dated ______________________ Forwarded to the Assistant Excise and Taxation Commissioner/Excise and Taxation officer, Incharge of the District alongwith ___________Forms VAT-XXVI-A. Signature of the officer-in-Charge of the check post or barrier. Note. 1. In this form the columns 1 to 7 shall be completed immediately by the Excise and Taxation inspector on duty at the check post or the barrier, and the column 8 and 9 will be completed by the clerk concerned in the district office. 2. At the end of each week, a coy of the abstract shall be prepared by the concerned Excise and Taxation Inspector and the Officer incharge shall forward the same, alongwith the original copies of VAT- XXVI-A forms received at the barrier during the relevant week, to the Assistant Excise and Taxation Commissioner/Excise and Taxation Officer, Incharge of the district in which the concerned dealer is registered. FORM VAT-XXVI-E [See rule 62(13)] Statement showing details of Forms VAT-XXVI-A in respect of un­registered dealers received at__________________(Name of the check post or barrier). Date Sl .No. Vehicle number in which the goods were transported VAT- XXVI-A declaration form No. Name of the dealer exporting/importing the goods 1. 2. 3. 4. 5. Value Initials of the Excise Page of form Initials of the Clerk of and Taxation VAT- XXVI-F at posting the entries of goods Inspector on duty which posted form VAT- XXVI-A 6. 7. 8. 9. Signatures of the Officer-in-Charge of the check post or barrier. No________________ dated _______________________ Forwarded to the Assistant Excise and Taxation Commissioner/Excise and Taxation Officer, Incharge of the District alongwith ________________ Forms VAT-XXVI-A. Signatures of the Officer-in-Charge of the check post or barrier. Note.--- 1. In this form the columns 1 to 7 shall be completed immediately by the Excise and Taxation Inspector on duty at the Check post or the barrier and the columns 8 and 9 will be completed by the Clerk concerned in the district office. 2. At the end of each week, a copy of the abstract shall be prepared by the concerned Excise and Taxation Inspector and the officer­in-Charge shall forward the same, alongwith the original copies of VAT-XXVI-A forms received at he barrier during the relevant week, to the Assistant Excise and Taxation Commissioner/Excise and Taxation officer, incharge of the district in which the concerned dealer is register able. FORM VAT-XXVI-F [See rule 62 (13)] Register to be maintained dealer-wise in the district. Name of the dealer Sl.No. Name of the barrier/check post from which VAT-XXVI-A received Sl. No. of the declaration form Value of the goods 1. 2. 3. 4. Year of Date of handing over the forms Signatures of the official assessment to the concerned Assessing receiving forms (vide Authority column No. 6) 5. 6. 7. FORM VAT- XXVII [See rule 61(2)] (TRANSIT-SLIP) Name of the check-post/barrier 1. Date and time of arrival of goods at the check-post/barrier of entry 2. Name of person-in-charge of the goods 3. Name and address of the owner of the goods 4.Place from where goods were purchased 5.Name of the place from where the goods were consigned 6. Description of goods 7. Quantity of goods/number of packages 8. Value of goods 9. Destination of the goods 10.Vehicle Number 11.Name of check-post/barrier of exit in case the goods would ultimately leave the territory of Himachal Pradesh. 12. Signature of the officer-in-charge of the check-post/barrier at the point of entry of goods into the State of Himachal Pradesh. 13. Date and time when goods reach the exit check-post/barrier referred to in column (11) 14. Signature and seal of officer-in-charge of the exit check-post/barrier 15. Remarks Signature or thumb impression of the person transporting the goods. 102 FORM VAT-XXVIII [See rule 61 (3)] Security bond to be furnished by the owner of goods/driver or other person incharge of the goods vehicle or vessel BEFORE THE OFFICER INCHARGE OF THE CHECK-POST OR BARRIER OR THE OFFICER EMPOWERED UNDER SUB-SECTION (6) OF SECTION 34 OF THE HIMACHAL PRADESH VALUE ADDED TAX ACT, 2005. No............... of 200 . Petitioner Versus THE STATE OF HIMACHAL PRADESH RESPONDENT SECURITY BOND executed in favour of the Governor of Himachal Pradesh and his successor-in-office and assigns. WHEREAS the officer-in-charge of the check-post/barrier (name of the Check-post or barrier) or the officer empowered under sub-section (6) of section 34 had directed the owner of goods/driver or the other persons incharge of the goods vehicle or vessel to furnish adequate security and in pursuance of such direction, I/We hereby personal undertake and bind myself/ourselves, my heirs/our heirs and legal representatives to pay the Government of Himachal Pradesh the sum of Rs. ........ (Rupees.........) and mortgage/charge the properties specified in the schedule hereunto annexed for the payment of the sum of Rs. .......(Rupees .........) to the Governor of Himachal Pradesh and covenant that if the penalty or other amount due under section 34 is paid this bond shall be void and of no effect otherwise it shall remain in full force and effect. IN WITNESS WHEREOF I/WE have hereunto affixed/our hands and seal this day of ......................200 .........at..................... Witness: 1. ........... Signature Full address...... 2. Signature...... Full address...... Signature ........ Note. The Security bond should be affixed with adhesive non-judicial stamps of the value of ......... When the amount secured does not exceed Rs. 1,000 and with adhesive non-judicial stamps ...... of the value of ......... when the amount secured exceeds Rs. 1000. FORM VAT-XXVIII-A [See rule 61(3)] PERSONAL/SURETY BOND Personal bond to be executed by the owner of the goods or his representative, driver or other person incharge of the goods vehicle or vessel on behalf of the owner of goods. BEFORE THE OFFICER INCHARGE OF THE CHECK-POST OR BARRIER OR AN OFFICER EMPOWERED UNDER SUB-SECTION (6) OF SECTION 34 OF THE HIMACHAL PRADESH VALUE ADDED TAX ACT, 2005. No ........... 200 Versus THE STAT OF HIMACHAL PRADESH -------- Respondent. Known all men by those presents that I/We ............(Full name)................. (full address) with Registration certificate No. if any, am/are held and firmly, bond upto the Governor of Himachal Pradesh (hereinafter referred to as "The Government" ) which expression shall, unless excluded by or repungnant to the context, includes his successor-in-office and assigns in the sum of Rs. ..........(amount in figures and followed by amount in words) (hereinafter referred to as "The said sum") to be paid to the Government as demanded, for which payment well and truly to be made. I/We bind myself/our selves/my/our heirs, executors, administrator s and local representatives by these presents. Whereas the above bounden has been required by the Officer Incharge Sales Tax Check-post/barrier....... Excise and Taxation Officer/Assistant Excise and Taxation Officer ....... in writing to furnish security for the said sum for the purpose of security of securing the proper payment of the tax, surcharge, interest or penalty payable by him/them under the Himachal Pradesh Value Added Tax Act, 2005 (hereinafter referred to as the said Act) and an indemnifying the Government against all loss, costs or expenses which the Government may in any way, suffer, sustain or pay by reason of commission, default or failure of insolvency of the above bounden or any person or persons acting under or for him/them to pay such tax, surcharge, interest or penalty in the manner and by the time provided by or prescribed under the said Act. Now the condition of the above written bond is such that if the above bounden, him/them heirs, executors, administrators and legal representative of any person acting under or for him/them pays the full amount of tax, surcharge, interest or penalty payable by him under the said Act in the manner and by the time provided by or prescribed under said Act on demand by any authority appointed by Government under section 3 of the said Act, such demand to be in writing and to be served upon the above bounden person his/their heirs, executors, Administrators and legal representative of any person acting under or for him/them in the manner provided by or prescribed under the said Act, and shall also at all times indemnifying and save harmless the Government from all and every loss, cost or expenses which has been or shall or may at any time, or times hereafter during the period in which the above bounden is held liable to pay the tax, surcharge, interest or penalty under the said Act be caused by reasons of any act, omission default, failure or insolvency of the above bounden or of any person or persons acting under or for him/them then this obligation shall be void and of no effect, otherwise the same shall be and remain in full force and it is hereby further agreed that in the vent of the death/partition/disruption/dissolution/winding up or the final cessation of the liability, under the Act or the rules prescribed thereunder, of the bounden this bond shall remain with the officer Incharge Check-post/Barrier the Excise and Taxation Officer/Assistant Excise and Taxation Officer for one year from the occurring of any of the events aforesaid for recovering any tax, surcharge, interest or penalty that may be payable by the above bounden or any loss, cost or expenses that may be payable by the above bounden or any loss, cost or expenses that may have been sustained included or paid by the Government owing to the act, omission, default, failure or insolvency of the above bounden or any person or persons acting under or for him/them of the above bounden's heir, executors, administrators and legal representatives and which may not have been discovered until after the above bounden's death/partition/disruption/dissolution/winding up or final cessation of his their liability under the said Act or the rules prescribed thereunder: Provided always that without prejudice to any other right or remedy for recovering the tax, surcharge, interest or penalty loss or damage as aforesaid it shall be open to the Government to recover the amount payable under this bond as arrear of land revenue or fine imposed by any authority under the said Act. In witness whereof the said .........(Full name) has hereunto set his hand this .............. day of ...........signed and delivered....... by the above named in the presence of ..............signature......Status. Witness: 1. ____________________ (Signature with address) 2. ______________________ (Signature with address) SURETY BOND We (1) _____________________________________________ (2) ______________________________________________ (Name and full address of the sureties) hereby declare ourselves sureties for the above bounden and guarantee that he/they shall do and perform all that he/they has/have above undertaken to do and perform and in case of his/their omission, default or failure therein we hereby bind ourselves jointly and severally to forfeit to the Government of the Himachal Pradesh (hereinafter referred to as the 'Government') which expression shall unless excluded by or repugnant to the context includes his successor-in-office and assigns the sum of rupees____________________________________ (amount in figures followed by amount in words) hereinafter referred to as 'the said sum' in which the above bounden has bound himself or such other lesser sum as shall be deemed to be sufficient by the Officer Incharge Check-Post/Barrier, the Excise and Taxation Officer/Assistant Excise and Taxation Officer in writing to recover any amount of tax, surcharge, interest or penalty payable by the above bounden and amount of tax, surcharge, interest or penalty payable by the above bounden and remaining unpaid and also to recover any loss, damages, cost or expenses, which he Government sustain, incur or pay by reason of which such omission, default or failure. And we agree that the Government may without prejudice to any other rights or remedies of the Government recover the said sum from us, jointly and severally as an arrears of land revenue and/or fine imposed by a Magistrate. And we also agree that neither of us shall be at liberty to terminate this surety ship except upon giving to the Officer Incharge Check­post/Barrier the Excise and Taxation Officer/Assistant Excise and Taxation Officer six calendar months notice in writing of his intention so to demand out joint and several liability under the bond shall continue in respect of all acts, omission, defaults, failure and insolvencies on the part of the above bounden until the expiration of the said period of six months. Signature of sureties in presence of witness. (1) __________________________________ (Name and complete address of the witness) (2) ___________________________________(Signature) Present Address: Signature _________________________ Permanent Address _________________ Accepted for and on behalf of the Governor of Himachal Pradesh in pursuance of Article 299 (1) of the Constitution. In presence of 1. 2. Name and Designation of the Officer FORM VAT-XXVIII-B [See rule 62 (5)] INDEMNITY BOND Know all men by these presents that * I/We _______________(Full address of the dealer) _______________________________________ ___ *registered dealer/dealer under the Himachal Pradesh Value Added Tax Act, 2005 under TIN . _________________ ____________dated____________ in the State of Himachal Pradesh(hereinafter called the Obligor) * am/are held and held and firmly bound upto the Governor of Himachal Pradesh (hereinafter called the Government) in the sum of Rs. _____________(Rupees in words) *(hereinafter referred to as the said sum) to be paid to the Government on demand for which payment will and truly be made, I/We bind myself/ourselves and my/our heirs, executors, administrators, legal representative and assigns and the person for the time being having control over assets and affairs by these presents. Signed this __________________________________ day of ______ __________________ two thousand and __________________________ Whereas sub-rule (5) of rule 62 of the Himachal Pradesh Value Added Rules, 2005, requires that in event of a blank or completed form of declaration is lost while it is in the custody of the dealer or in transit, he is required to furnish an indemnity bond to the appropriate Assessing Authority from whom the said form was obtained; And whereas the obliger herein is the dealer to whom the form VAT-XXVI-A was issued; *which was issued to him by _____________________________________ (name and designation of the authority). Now the condition of the above written bond is such that if the obliger shall in the event of a loss suffered by the Government (in respect of which the decision of the Government or the authority appointed for the purpose shall be final and binding on the obliger) as a result of the misuse of the Form, pay to the Government on demand and without demur the said sum of Rs. ______________ (Rupees______________________________in words) and shall otherwise indemnify and keep the Government harmless and indemnified from all liabilities incurred by the Government as a result of the misuse of such from then the above written bond shall be void and of no effect but otherwise shall remain in full force, effect and virtue. The obliger further undertakes to mortgage/charge to properties specified in the Schedule hereunder written by execution of proper deed of mortgage/charge for the payment of the said sum; SCHEDULE (Give details of properties mortgaged/charged) And these presents also witnesseth that the liability of the Obliger hereunder shall not be impaired or discharged by reason of any for bearance, act or omission of the Government or for any time being granted or indulgence shown by the Government. The Government agrees to bear the stamp duty, if any, chargeable on these presents. In witness whereof the Obliger has set his hand/*has caused these presents executed by his authorised representative on the day, month and year above written in the presence of _______________________. 1.________________________ 2.________________________ (Obliger's signatures) Accepted for and on behalf of the Government of Himachal Pradesh by name and designation of the Officer duly authorised in pursuance of Article 299(1) of the Constitution of India to accept the Bond for and on behalf of the Governor of Himachal Pradesh. In the presence of - 3. ___________________________ 4. ___________________________ (Name and designation of the officer) FORM VAT- XXIX [See rule 67] NOTICE UNDER SECTION 21 AND 32 OF THE HIMACHAL PRADESH VALUE ADDED TAX ACT, 2005. To ___________________ ___________________ TIN Whereas - (a) You, a dealer registered under TIN ________________ of ______ District have not furnished return of the year/quarter/month ending the _______day of ______________200. (b) I am not satisfied that the return filed by you for the year/ quarter/ month ending the _________day of ________ is correct and complete/ your case has been selected for scrutiny under rule 66 of the Himachal Pradesh Value Added Tax Rules, 2005 and it appears to me to be necessary to make an assessment under sub­section (3) of section 21 of the Himachal Pradesh Value Added Tax Act, 2005, in respect of the above mentioned period. (c) I am satisfied on information which has come into my possession that you have been liable to pay tax under Himachal Pradesh Value Added Tax Act, 2005, in respect of the period commencing on ________ and ending with _________but that you have wilfully failed to apply for registration under section 14 of the said Act and it appears to me to be necessary to make an assessment under sub­section (7) of section 21 of the said Act, in respect of the above mentioned period and all subsequent periods. You are hereby directed to attend in person or by a agent at (Place) ___________ on (date)__________at (time)__________and thereto produce or cause thereto be produced, at the said time and place the accounts and documents specified below for the purpose of such assessment together with any objection which you may wish to prefer and any evidence you may wish to adduce in support thereof and to show cause on that date as to why a penalty not less than fifteen percentum but not exceeding one-and-a-half time the amount of value added tax or tax should not be imposed upon you under sub-section (7) of section 21 of the said Act. In the event of you failure to comply with this notice, I shall proceed to assess under section 21 of the Himachal Pradesh Value Added Tax Act, 2005, to the best of my judgement without further reference to you. (Signature___________________ Assessing Authority, ______________________District. (Seal of Assessing Authority). Dated__________________ Particulars of accounts and documents required. (1) (3) (2) (4) Failure without sufficient cause to submit a return as required by sub-section (2) and (3) of section 12 or submission of a false return renders a dealer liable to prosecution under section 35 of the Act. FORM VAT-XXX [See rule 70(1)] TAX DEMAND NOTICE UNDER SECTION 21 OF THE HIMAHCAL PRADESH VALUE ADDED TAX ACT, 2005. OFFICE OF THE ASSESSING AUTHORITY To ______________________ ______________________ ______________________ TIN You are hereby informed that your taxable turnover for the year/quarter/month ____________has been assessed to tax and penalty under the Himachal Pradesh Value Added Tax Act and the same, including the amount of interest accrued under section 19 of the Act, is as under: -- 1. Taxable turnover determined 2. Tax assessed 3. Less tax already paid 4. Balance due 5. Penalty imposed u/s 6. Interest accrued 7. Net amount due (4+5+6) Rs. Rs. Rs. Rs. Rs. Rs. Rs. You are hereby directed to pay the sum of Rs_______________ (Rupees_________________________(in words), into the appropriate Government Treasury on or before (date)______________and furnish the necessary treasury receipt in this office on or before the above said date failing which you may be liable to pay penalty and other action under the Act and the said sum will be recoverable from you as an arrear of land revenue. 2. A challan in Form VAT-II is enclosed for the purpose. (Seal of Assessing Authority) (Signature)______________ Assessing Authority, ______________ District. FORM VAT-XXXI [See rule 71] PESHI REGISTER Period From Name of the Assessing Authority Area of Jurisdiction Sl.No. of Institution Date of issue of notice Name and address of the dealer TIN, if any 1. 2. 3. 4. Date of final Gist of the final Initials of Remarks order order Assessing Authority 5. 6. 7. 8. FORM VAT-XXXII [See rule 71] REGISTER OF ASSESSMENTS AND RECOVERY OF DEMAND FORM VAT-XXXIII Sl. No. Name and address of the dealer TIN, if any Particulars of assessments, additional demand and demand notice 3. Date of assess­ment order Tax assessed Rs. Penalty imposed Rs. Interest accrued Date of demand notice / date for payment 1. 2. 3. 4(a) (b) (c) (d) 5. Recovery of additional demand and interest with T.R. No . Action for unrecovered additional demand etc. Remarks and initials of Assessing Authority Tax Rs. Penalty Rs. Interest Rs. Under section 21(9) Under section 15 Under section 27 Under section 25 6. 7. 8. 9(a) (b) (c) (d) 10. [See rule 72(1)] NOTICE OF RE-ASSESSMENT Case No. Dated Circle District To ___________________ ___________________ TIN Whereas, in consequence of definite information in my possession, I have reasons to believe that the turnover of your business assessable to tax period _________ending_________has been under assessed/has escaped levy of tax . I, therefore, propose to re-assess the turnover for the said period that has been under assess/has escaped levy of tax . I, hereby require you to show cause within __________ days of the service of this notice on you why the contemplated action should not be taken in your case. (Signature________________ Assessing Authority, ___________________District. Seal of the Assessing Authority. Name and address of the person to whom notice is issued with nature of his business together with TIN___________________ FORM VAT-XXXIV [See rule 75(2) (i)] REFUND PAYMENT ORDER of this order Assessing Authority (Seal) FORM VAT-XXXV [See rule 75(2) (ii)] REFUND ADJUSTMENT ORDER as per this order Date of approval Return in which adjustment allowed Date of filing the return Validity of RAO Assessing Authority, (Seal) FOR OFFICE USE ONLY CONFIRMATION OF REFUND Refund payment order ________________ AUTHORISED Date: _____________________________ Date of Approval ___________________ Amount __________________________ Amount __________________________ Date of refund order Asstt. Excise and Taxation Commissioner/ Excise and Taxation Officer Incharge, District ________________ Assessing Authority, FORM VAT- XXXVI [See rule 77(1) (a)(ii)] Form of memorandum of appeal to the Appellate Authorities other than the Tribunal, under section 30 (a) and (b) of the Himachal Pradesh Value Added Tax Act, 2005. (Space for Court fee stamp) Value of Court fee stamps affixed. Before the (Appellate Authority) M/s Appellant(s). Versus Respondent. 1. Assessment year 2. District in which assessment made 3. Authority passing the order in dispute 4. Date of passing order appealed against 5. Address to which notice may be sent to the appellant(s) 6. Address to which notice may be sent to the respondent 7. Relief claimed in appeal: (a) Turnover determined by the Assessing Authority- (b) If turnover is disputed: - (i) Disputed turnover; and (ii) Tax on disputed turnover; (c) If rate of tax is disputed: - (i) Turnover involved; and (ii) Amount of tax disputed (d) If the order or penalty is disputed: (i) Section under which penalty imposed; (ii) Amount of penalty in disputed; and (iii) Amount of input tax credit in dispute. (e) Any other relief claimed. 8. Whether the additional demand (i.e. tax, penalty or interest) created by the Assessing Authority has been deposited into the Government Treasury or not? TR No. Date / / 2 0 9. Grounds of appeal (Full in here) Signature of the Appellant(s) or his/their duly authorised agent. Verification: I/We____________. appellant(s) named in the above appeal do hereby declare that what is stated above from para 1 to ________ of the appeal, is true to the best of my/our knowledge and belief. (Verified __________ this ______________ the day of 200 . Signature of Appellant(s) or his/their duly authorised Agent. Note. - (i) The appeal shall be written on the standard water marked judicial paper and to be filled in triplicate specifying all the particulars given in this form . (ii) It shall bear court-fee stamps worth Rs. .. contain a clear statement of facts and grounds of appeal briefly but clearly set-out and shall also state precisely the relief prayed for. (iii) It shall be accompanied by : -- (a) the order in original against which it is made duly authenticated copy thereof unless the omission to do so or to produce such order or copy is explained at the time of presentation of memorandum of appeal to the satisfaction of the appellate authority; and (b) proof of payment of tax (including interest payable) or of penalty or of both unless the inability to make payment of these amounts proved and unless a written prayer to that effect has been submitted alongwith the memorandum of appeal. (iv) It shall be signed and verified by the appellant(s) or by an agent duly authorised by him/them in the behalf. * Please indicate the designation of the authority, before whom the appeal is to be filled. ** Please indicate the place of the Appellate Authority, where his office court is situated. FORM VAT-XXXVII [See rule 77(1) (a)(ii)] Form of memorandum of appeal to the Tribunal, under section 30 (c) of the Himachal Pradesh Value Added Tax Act, 2005. (Space for Court fee stamp) Value of Court fee stamps affixed. NO._________________ of 200________ Before the (Appellate Authority) M/s Appellant(s). Versus Respondent. 1. Designation of the authority passing the original order 2. Assessment year 3. Designation of the authority passing the order appealed against 4. Date of communication or order at Sr. No. 3 5. Address to which notice may be sent to the appellant(s) 6. Relief claimed in appeal: (a) turnover determined by original order; (b) turnover determined by the order appealed against; (c) If turnover is disputed (i) disputed turnover; and (ii) tax on disputed turnover; (d) If rate of tax is disputed: - (i) turnover involved; and (ii) amount of tax disputed (e) If the order of penalty is disputed: (i) penalty imposed by the original order; (ii) penalty determined by the order appealed against; (f) If input tax credit is disputed --- (i) input tax credit determined by original order (ii) input tax credit determined by the order appealed against (g) Any other relief claimed. 8. Appellant has paid tax assessed, penalty imposed and interest accrued. TR No. Date / / 2 0 9. Grounds of appeal (Full in here) Signature of the Appellant(s) or his/their duly authorised agent. Verification: I/We____________. appellant(s) named in the above appeal do hereby declare that what is stated above from para 1 to ________ of the appeal, is true to the best of my/our knowledge and belief. (Verified __________ this ______________ the day of 200 . (For use in the office of authority concerned). Official Seal. Receipt No. _____________ Date: __________________ Receiving officer/official ACKNOWLEDGEMENT Received from M/s _____________________ of district ____________________ (TIN, if any) __________ appeal alongwith the enclosures mentioned therein. Place_________ Receiving officer/official. Dated: ________ FORM VAT-XXXVIII [See rule 77(2)] FORM OF APPLICATION FOR REVISION UNDER SECTION 46(3) (Space for Court fee stamp) Value of Court fee stamps affixed. NO._________________ of 200________ BEFORE THE TRIBUNAL UNDER THE HIMACHAL PRADESH VALUE ADDED TAX ACT, 2005 M/s Applicant(s). Versus Respondent. 1. Assessment year 2. District in which assessment was made 3. Date of passing the order of which revision is sought 4. Address to which notice may be sent to the applicant(s) 5. Address to which notice may be sent to the respondent(s) 6. Relief claimed in revision (a) If turnover is disputed,-- (i) disputed turnover; (ii) tax on disputed turnover (b) If tax is disputed,-- (i) turnover involved; (ii) tax on disputed turnover; (c) If the order of penalty is disputed,-- (i) Section under which penalty imposed (ii) Amount of penalty in dispute (d) If input tax credit is disputed --- (i) turnover on which input tax credit disputed (ii) amount of input tax credit disputed (e) Any other relief claimed. 8. Applicant has paid tax determined, penalty imposed by the order under revision and the interest accrued. TR No. Date / / 2 0 9. Grounds of revisional-(i) improprieties, (ii) illegalities (Full in here) Signature of the Applicants Verification: I/We____________. Applicant(s) named in the above application do hereby declare that what is stated above from para 1 to ________ of the application for revision, is true to the best of my/our knowledge and belief. (Verified __________ this ______________ the day of 200 . Signature of applicant(s) or his / their duly authorised agent Note. - (i) The application for revision shall be written on the standard water marked judicial paper and to be filled in triplicate specifying all the particulars given in this form. (ii) It shall bear court-fee stamps worth Rs___________ contain a clear statement of facts and grounds of appeal briefly but clearly set-out and shall also state precisely the relief prayed for. (iii) It shall be accompanied by : -- (a) the order in original against which it is made duly authenticated copy thereof unless the omission to do so or to produce such order or copy is explained at the time of presentation of the application for revision to the satisfaction of the Tribunal; and (b)proof of payment of tax (including interest payable) or of penalty or of both. (iv) It shall be signed and verified by the applicant or by an agent duly authorised by him/them in the behalf. (For use in the office of authority concerned). Official Seal. Receipt No. _____________ Date: __________________ Receiving officer/official ACKNOWLEDGEMENT Received from M/s _____________________ of district ____________________ (TIN, if any) __________ appeal alongwith the enclosures mentioned therein. Place_________ Receiving officer/official. Dated: ________ FORM VAT- XXXIX [See rule 79 (10)] INSTITUTION REGISTER OR APPEALS/APPLICATIONS/REVISIONS Name of the Authority: Area of Jurisdiction Sr.No.Institution of Date of Institution Appeal/ Application / Revision Amount of tax/penalty involved Title of Appeal/ Application/ Revision 1. 2. 3. 4. 5. continued Date of order Result Disposal Number Remarks Whether: Accepted: Rejected: Remanded or Revised Rs. Amount Rs. 6. 7. 8. 9. 10. FORM VAT-XXXIX-A [See rule 79(10)] DISPOSAL REGISTER OF APPEALS/ APPLICATIONS/REVISIONS Name of the Authority: Area of Jurisdiction Disposal Number Date Disposal of No. of Appeal/ Application/ Revision . TIN No. Date of Institution 1. 2. 3. 4. 5. continued Title of Appeal/ Application/ Revision Orders whether Accepted/Rejected /Remanded /Revised Additional demand Date issue copy orders of of or Signature 6. 7. 8. 9. 10. FORM VAT-XXXX [See rule 80(1)] Notice under section 46 of the Himachal Pradesh Value Added Tax Act,2005 BEFORE COMMISSIONER: UNDER THE HIMACHAL PRADESH VALUE ADDED TAX ACT, 2005 Case No. Year To ___________________ ___________________ TIN Whereas: -­ (a) you are a dealer un-registered/ registered under the Himachal Pradesh Value Added Tax Act, 2005; (b) The proceedings relating to the period/case ___________which are pending/which have been disposed of by the Assessing Authority___________.district/ by __________.(Designation of any other officer) and such authority/officer has made the order dated _______________therein. (c) In order to satisfy myself as to legality and propriety of the aforesaid proceedings/the aforesaid order and other proceedings connected therewith, the record of the same was called for and it has been found that : - (List the illegality or impropriety noticed). 2. In view of the aforesaid, the said proceedings or order appears not to be legal and proper and as such the same requires to be revised under sub­section (1) of section 46 of the Act. 3. Now, therefore, in exercise of powers conferred upon me under section 31(1) of the Himachal Pradesh Value Added Tax Act, 2005, it is proposed to take action in the matter and to pass appropriate consequential orders in relation to the said proceedings/ order. Before, however, the requisite order under section 46(1) is passed, you are hereby afforded the opportunity of being heard and directed to attend in person or by a duly authorised agent in my office located in the_____________on________ at________and there to prefer: any objection, which you may wish to prefer in this behalf as to why the appropriate order under section 46 of the aforesaid Act should not be passed. 4. In the event of your failure to comply with this notice, I shall proceed to pass the order as aforesaid without further reference to you. SEAL Signature _______________ Commissioner, Himachal Pradesh. Copy to the Assessing Appellate Authority _______________. for necessary action. Commissioner, Himachal Pradesh. Strike out whichever is not applicable. FORM VAT-XXXXI [See rule 83] SUMMONS TO APPEAR IN PERSON AND/OR TO PRODUCE DOCUMENTS. Case No. Year To ___________________ ___________________ Whereas your attendance is necessary to give evidence/whereas the following documents are required with reference to an enquiry under the Himachal Pradesh Value Added Tax Act, 2005 regarding the case concerning _________________son of_________________now pending before me, you are hereby summoned to ______________produce ,or cause to be produced the said document(s) before me on the _______day of ____________at (time____________A.M./P.M. at (Place)___________and not to depart until permitted by me. 2. A sum of Rs___________ being your diet money and travelling expenses is lying in deposit and will be paid to you in due course. 3. Failure, without lawful excuse, to appear and give evidence or produce or cause to be produced the documents as the case may be, is punishable under the provisions of Order XVI, Rule 12, Civil Procedure Code, 1908. Given under my hand and seal, this ______ day of ________. (Signature) ____________________ Designation ____________________ (SEAL)