FORM VAT-10 [See Rule 19] Quarterly Return Date of filing ...... ...... Signature of assessing authority / authorized officer. 1.1 Name of dealer : 1.2 Registration No. (TIN) 1.3 Address :----------------------------------- ----------------------------------------------- 2 Due date of filing 3 Return period : From To 4 DETAIL OF TURNOVER OF SALES Amount 4.1 Gross Turnover [Including turnover of purchase liable to tax u/s4(2)] Deduct: 4.2 Sales returns within the Return Period 4.3 Turnover of Exempted Sales 4.4 Turnover of goods taxable at first point which have already suffered tax 4.5 Turnover of Sales to exporters (against Form VAT-15) 4.6 Turnover of Inter-State Sales 4.7 Turnover of sales outside the State of Rajasthan 4.8 Turnover of Export Sales 4.9 Other deductions, if any : 1...... 2...... 4.10 Total (4.2 to 4.9) 4.11 Taxable Turnover [(4.1) - (4.10)] 5 COMPUTATION OF OUTPUT TAX Name of Commodity Turnover Tax Rate Output Tax 5.1 1% 5.2 4% 5.3 12.50% 5.4 ---- 5.5 ---- 5.6 Total: 6 COMPUTATION OF PURCHASE TAX Name of Commodity Turnover Tax Rate Tax 6.1 1% 6.2 4% 6.3 12.50% 6.4 ---- % 6.5 ---- % 6.6 Total: 7 REVERSE TAX Reverse Tax Amount 7.1 On Return of goods purchased (including capital goods). 7.2 On goods purchased from registered dealers for a purpose specified in Section 18 (1) (a) to (g) and disposed off otherwise. 7.3 On Stocks remained in case of switch over of option. [See Rule 17(3)] 7.4 In any other case (Please specify) 7.5 Total: 8 COMPUTATION OF INPUT TAX (OTHER THAN CAPITAL GOODS EXCEEDING RUPEES ONE LAC PER ITEM) 8.1 Purchase value (excluding VAT) as per VAT invoices Tax Rate Input Tax 8.2 1% 8.3 4% 8.4 12.50% 8.5 ------- % 8.6 Total: 9 COMPUTATION OF INPUT TAX ON CAPITAL GOOD EXCEEDING RUPEES ONE LAC PER ITEM 9.1 Purchase value (excluding VAT) as per VAT invoices Tax Rate Input Tax 9.2 4% 9.3 ---- % 9.4 Total: 9.5 ITC claimed in the Quarter: 9.6 ITC carried forward ** 10 COMPUTATION OF INPUT TAX FOR LEASE TRANSACTIONS Purchase value (excluding VAT) as per VAT invoices of leased goods or raw materials thereof Tax Rate Input Tax 10.1 1% 10.2 4% 10.3 12.50% 10.4 ----- % 10.5 Total: 11 COMPUTATION OF TOTAL INPUT TAX AMOUNT 11.1 Amount adjustable from balance of input tax of earlier tax periods, 11.2 On purchases of goods other than capital goods [as per 8.6] 11.3 On Capital goods 11.4 On Leasing of goods 11.5 Total Input Tax: 12 TAX PAYABLE/ DEFERRED AMOUNT 12.1 Total TAX PAYABLE [(5.6) +(6.6)+(7.5)] 12.2 Total Input Tax (11.5) 12.3 Net Tax Payable [(12.1) - (12.2)] 12.4 Tax Deferred. 13 DETAILS OF DEFERMENT/ EXEMPTION Name Period Amount 13.1 Name of Deferment/ Exemption Scheme with E. C. No. 13.2 Eligible Amount and Period 13.3 Extent of Deferment/ Exemption 13.4 Amount availed up to last Quarter 13.5 Amount availed during the Quarter 13.6 Balance eligible Amount 14 DETAILS OF DEPOSITS Period Due Date Deposit Date Amount Delay in Deposit Interest Payable Interest deposit date 14.1 14.2 15 ADJUSTMENTS When the Net Payable amount (12.3) is negative Period Amount 15.1 Adjust against CST dues (Specify period) 15.2 Adjust against VAT dues (Specify period) 15.3 Adjustment under Repealed Act (Specify period) 15.4 Any other dues 15.5 Balance carried forward [(12.3) - (15.1 to 15.4)] 16 REFUNDS 16.1 Refund claimed Cause of Refund Amount 17. Cases of evasion or avoidance made out by the Department, if any, during the tax period with date and result thereof: 18. Any other information which dealer wants to mention: Enclosures (if any): 1. Part IV of Challans 2. ____________________________ 3. ____________________________ 4. ____________________________ 5. ____________________________ 6. ____________________________ Signature __________________ Name : Status: Place : Date : Verification: I/We verify that the above information and its enclosures is true and correct to the best of my/our knowledge and belief. I /We declare on oath that I/We have assessed tax, interest and other dues etc on the basis of facts and information, which is true and correct to the best of my /our knowledge and belief. Signature __________________ Name Status Place Date Acknowledgement: Number: Signature Name Designation Place Date Instructions: 1. This Form should be verified and signed by: a. Proprietor, in case of Proprietorship concern b. Managing Partner, in case of Partnership firm and where there is no Managing Partner, by all the partners if there is no registered partnership deed and in case of a registered partnership deed by any one of them. c. Managing Director or authorized signatory, in case of a Company d. Karta, in case of Hindu Undivided Family e. Authorised Signatory or Business Manager, in all other cases. 2. Enclose additional sheet(s) in case this space is not sufficient Enclose all documents/ evidence that you want to be considered 3. In the last quarter of the year or in the quarter of closure of business, Please attach the following additional documents:- a. Deleted. b. Deleted. c. Details of tax collected and deposited; d. Details of goods received on consignment / commission basis; and e. Details of goods dispatched as consignment or by way of stock / branch / depot transfers.
