FORM VAT-12-A [See rule 28(3)] ANNUAL TURNOVER TAX RETURN ORIGINAL/REVISED/FINAL Return for the tax period from __________ to ____________ 1. Registration No. 2. Name of the dealer 3. Address 4. Circle : ________________________/TOT : __________________________ : __________________________ : __________________________ 5. Gross purchases during the period : __________________________ 6. Gross Sales during the period : __________________________ 7. Turnover Tax Rate : __________________________ 8. Tax due : __________________________ 9. Details of payment Name of the Try/ Challan/Cheque/ Date of Amount Bank DD No. payment ACKNOWLEDGEMENT Declaration I, declare that the particulars furnished above in relation to the tax due are true and accurate. I understand that the law contains penalties for false declarations Place: Signature______________ Date: Name__________________ Status_________________
