FORM XIV TRIPURA VALUE ADDED TAX ACT, 2004 ASSESSMET ORDER FORM ( Under rule 21(3) of TVAT Rules ) Charge ................................. TIN ....... Name of dealer.......................................... Record No. ........................ Address...................................................... Period ending ........................ Turnover and Deduction Rs. 1. Turnover return : ............. 2. Turnover determined Total sale proceeds on account of (a) Sales of : .............. 3. Deduct - Amount, if any, refunded to customers, for goods Returned : ............... 4. Turnover 5. Tax payable on turnover of goods - Item Detail Turnover Rate of tax Tax 6. Tax Credit : .................. 7. Net Tax Payable (5-6) : .................. 8. Interest payable under Section 45(4) read with : .................. Rules 30 upto the Date of return (filling)/ demand 9. Penal Tax U/S ............ : .................. 10. Total sum payable : .................. 11. Amount already paid : .................. 12. Net balance due : .................. __________________________________________________________________________ Assessment under Section............................................................................... On ......................................20 ....................................... Superintendent of Taxes