FORM ST-12 [See rule 15(a) and 18(a)] ANNUAL RETURN OF TURNOVER & SALES TAX PAYABLE Return period from........to .......... Name of the dealer Address of the dealer No of certificate of Registration. Name of the Circle in which the dealer is assessed or is assessable. 1. Sale price ( including tax recovered ) of goods sold during the year under return excluding the value of goods involved in execution of work contract. Rs. ......... 2. (i) Value of work contracts. Rs. ......... (ii) Cost of labour involved Rs. ......... (iii) Balance ( i-ii) Rs.......... 3. Total Sales ( 1+2) Rs. ......... 2. Less (i) Discount allowed Rs. ......... (ii) Sale price of goods liable to tax at a different stage. Rs. ......... (iii) Sale price of goods exempted under Under section 5 of the Act. Rs. ......... (iv) Sale price of goods sold in the course of inter-state Trade and commerce Rs. .......... (v) Sale price of goods sold in the course Rs. .......... of export of goods out of India (vi) Value of goods returned by the purchaser. Rs......... (vii) Amount of Tax payable Rs. .......... (vii) Amount of Tax deducted by the Govt. Deptt. Etc. under section 16-C (Certificate in Form ST-59 already enclosed with Quarterly Return). Rs. ........ 3. Total deduction [ total of 4(i) to 4(viii).] 4. Balance (Taxable Turnover). 6.A Purchase price of goods referred to in section 4-B of the Act. 6.B Total taxable turnover ( Serial No: 6 + 6-A) 7. Sales Tax payable 8 Ratewise breakup of taxable turnover. Rs. ......... Rs. ......... Rs. ......... Rs. ........ S.No Amount of taxable turnover Rate of Tax Tax payable 1 2 3 4 (i) (ii) (iii) (iv) (v) (vi) (vii) (viii) Total Rs........ 9. Amount of surcharge Rs. ...... 10. Total tax payable (7+9) Rs. ....... 11. Amount of Tax paid Rs. ....... Name of the Treasury TR No & Date Amount 12. Copies of the trading, manufacture, profit and loss accounts balance sheet if any, are enclosed. Signature of the dealer, Place........ Status/relationship with the dealer. Dated.....