FORM VAT-11 [See Rule 19 (2)] Annual Return [For dealers U/S 3(2) or 5] Date of filing ...... ...... Signature of assessing authority / authorized officer. 1 Name of Dealer: 2 Registration No. (TIN) 3 Address: __________________ ___________________ 4 Year: 5 Due date of filing 6 [DETAIL OF TURNOVER OF SALES (Under section 3(2)] Amount (In Rs.) 6.1 Gross Turnover Deduct :- 6.2 Turnover of Sales return 6.3 Turnover of exempted sales 6.4 Total Deduction [ 6.2 + 6.3] 6.5 Turnover (6.1 - 6.4) 7 [DETAIL OF TURNOVER OF SALES (Under section 5)] Amount (In Rs.) 7.1 Gross Turnover 8 TAX PAYABLE Quarters Turnover (In Rs.) Tax amount (In Rs.) 8.1 First 8.2 Second 8.3 Third 8.4 Fourth 8.5 Total: 9 DETAILS OF DEPOSITS Period Due Date Deposit Date Amount (In Rs.) Delay in Deposit Interest Payable Interest paid on (Date) 9.1 9.2 9.3 9.4 9.5 Total: Place Signature Date: Name Status Verification: I verify that the above information and its enclosures is true and correct to the best of my knowledge and belief. Place Signature Date Name Status Enclosures (if any) 1. Part IV of Challan 2. _______________________ 3. _______________________ 4. _______________________ 5. _______________________ 6. _______________________ Acknowledgement Number: Signature Name Designation Place Date
