FORM VAT-13 [See rule 19(5)] INFORMATION OF BRANCH TURNOVER Registration No. (TIN) 1. Name of Dealer 3. Principal place of business Bldg. No/ Name/ Area Town/City District (State) Pin Code Email Id Telephone Number(s) FAX No. 4. Address of additional places of business in respect of which this intimation is given Bldg. No/ Name/ Area Town/City District (State) Pin Code Email Id Telephone Number(s) FAX No. 6.. Detail of turnover of above referred additional place of business : Amount in Rs. Gross Turnover Total Deductions Net Taxable Turnover Turnover liable to purchase tax Turnover liable to reverse tax Place : Signature Date : Full Name: Status Verification I verify that the above information and enclosures (If any) is true and correct to the best of my knowledge and belief. Place : Signature Date : Full Name: Status