http___164.100.80.99_vat2_VatReturn_VAT100Print

FORM VAT 100 [See Rules 138] RETURN

Return REF. No.:7568969501. General Information 1.1)LVO CODE 601.2)Tax Period(Month/Quarter) JUL-SEP-20111.3)Return Type ORIGINAL1.4)Filing Date 11/10/20111.5)TIN 293901330271.6)Full Name of the dealer DAKSHAYANI BEEDI SALES

1.7)Address of the dealer 579 2 MAIN RD,KENGERIUPANAGARA BANGALORE-560060

1.8)Tax invoices issued in the month:

2. Particulars of Turnover

Local Inter State

2)Total TO 1113700 3)Total TO(Interstate/Export) 0 2.1)Ret., disc., lab. chg. etc rel. to sales of the

month0 3.1)Ret., disc.,lab. chg, etc. 0

2.2)Const. Sales/C.A. Sales 0 3.2)ST / Cons. Sales 0 2.3)Tax Coll.(VAT) 0 3.3)Exempted Sales 0 2.4)Exempted Sales 1113700 3.4)Direct Exports 0 2.5)Others 0 3.5)Deemed Exports (against H-Form) 0 2.6)Taxable TO (Local) [Box 2 less (Box 2.1 to Box

2.5)]0 3.6)Sales in Transit (E-I, E-2) 0

3.7)Sales in the course of import (including

High Sea Sales)0

3.8)CST Collected 0

3.9)Taxable turnover (Interstate) [Box No. 3

less (Total of Box 3.1 to Box 3.8)]0

4. Net Tax Payable Amount

4.1)Output Tax Payable (Refer Box No.8.3) 0 4.2)B/f credit of input tax of previous month (Refer Box 4.10) 0 4.3)Input tax credit (Refer Box No. 11) 0 4.4)Tax Payable [Box No.4.1-(Box No.4.2+Box No.4.3)] 0 4.5)Tax deducted at source(Certificate/s Enclosed) 0 4.6)Tax already paid in the original/revised/corrected return & IT Adjst. of Prev. 6 months 0 4.7)Balance Tax Payable [Box No.4.4-(Box.No.4.5+Box.No.4.6)] 0 4.8)Adjustment of any excess credit towards KST/KTEG/KSTECG 0 4.9)Refund 0 4.10)Credit/excess payment carried forward 0 4.11)Net Tax refund as per Inc. Notf. 0

5. Tax Payment Details

Details Amount

5.1)Tax Payable as per Box. No. 4.7 0 5.2)Interest 0 5.3)Others 0 5.4)Total of Box No. 5.1 to Box No 5.3 0

6. Details of Local Sales/ URD Purchases and Output Tax/Purchase Tax Payable

6.1)Taxable TO of sales at 1 % 0 6.11)O/p tax Payable(rel. to BNo.6.1) 0 6.2)Taxable TO of sales at 4% 0 6.12)O/p tax Payable(rel. to BNo. 6.2) 0

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6.3)Taxable TO of sales at 5% 0 6.13)O/p tax Payable(rel. to BNo.6.3) 0 6.4)Taxable TO of sales at 13.5% 0 6.14)O/p tax Payable(rel. to BNo.6.4) 0 6.4.1)Taxable TO of sales at 14% 6.14.1)O/p tax Payable(rel. to BNo.6.4.1) 6.5)Taxable TO of sales at 15% 0 6.15)O/p tax Payable(rel. to BNo.6.5) 0 6.6)Others, if any (please specify) 0 6.16)O/p tax Payable(rel. to BNo.6.6) 0 6.7)Taxable TO of URD purc. at 5% 0 6.17)O/p tax Payable(rel. to BNo.6.7) 0 6.8)Taxable TO of URD purc. at 13.5% 0 6.18)O/p tax Payable(rel. to BNo.6.8) 0 6.8.1)Taxable TO of URD purc. at 14% 6.18.1)O/p tax Payable(rel. to BNo.6.8.1) 6.9)Taxable TO of URD purc. at other rate(specify

rate)0 6.19)O/p tax Payable(rel. to BNo.6.9) 0

6.10)Total (Box No.6.1 to 6.9) 0 6.20) Total O/p tax payable (6.11 to

6.19)0

7. Details of Interstate Sales(ISS) and CST Payable

7.1)Taxable TO of ISS at 1% 0 7.10)O/p tax payable(rel. to BNo. 7.1) 0 7.2)Taxable TO of ISS against C Forms at 2% 0 7.11)O/p tax payable(rel. to BNo. 7.2) 0 7.3)Taxable TO of ISS without C Forms at 1% 0 7.12)O/p tax payable (rel. to BNo. 7.3) 0 7.4)Taxable TO of ISS without C forms at 4% 0 7.13)O/p tax payable (rel. to BNo. 7.4) 0 7.5)Taxable TO of ISS without C forms at 5% 0 7.14)O/p tax payable (rel. to BNo. 7.5) 0 7.6)Taxable TO of ISS without C forms at 13.5% 0 7.15)O/p tax payable (rel. to BNo. 7.6) 0 7.6.1)Taxable TO of ISS without C forms at 14% 7.15.1)O/p tax payable (rel. to BNo. 7.6.1) 7.7)Taxable TO of ISS without C forms at 15% 0 7.16)O/p tax payable (rel. to BNo. 7.7) 0 7.8)Others, if any (Specify Rate of Tax) 0 7.17)O/p tax payable (rel. to BNo.7.8) 0

7.9)Total (of BNo. 7.1 to 7.8) 0 7.18)Total o/p tax payable(Total of 7.10

to 7.17)0

8.1)Total Output Tax (Total of BNo. 6.20 and BNo. 7.18) 0 8.2)Output Tax deferred to Industries as per Incentive Notifications 0 8.3)Net Output Tax Payable (BNo. 8.1 - BNo. 8.2) 0

9. Details of Purchases and Input Tax

9.1)Net value of purchases at 1% 0 9.14)Input tax (rel. to BNo. 9.1) 0 9.2)Net value of purchases at 4% 0 9.15)Input tax (rel. to BNo. 9.2) 0 9.3)Net value of purchases at 5% 0 9.16)Input tax (rel. to BNo. 9.3) 0 9.4)Net value of purchases at 13.5% 0 9.17)Input tax (rel. to BNo. 9.4) 0 9.4.1)Net value of purchases at 14% 9.17.1)Input tax (rel. to BNo. 9.4.1) 9.5)Net value of purchases at 15% 0 9.18)Input tax (rel. to BNo. 9.5) 0 9.6)Value of URD purc. to the ext. used/sold during the

Month/Quarter

9.6.1)B/F from Prev. period 0 9.6.2)Rel. to Curr.period 0 9.6.3)Total (9.6.1+9.6.2) 0 9.19)Input tax (rel. to BNo. 9.6.3) 0 9.7)Others, if any (pl.specify) 0 9.20)Input tax (rel.to BNo. 9.7) 0 9.8)Value of URD purc. to the ext. not used/sold 9.8.1)B/F from Prev. period 0 9.8.2)Rel. to Curr. tax period 0

9.8.3)Total (9.8.1+9.8.2) 0 9.21)Input tax carried forward (rel. to BNo.

9.8.3)0

9.9)Val. of VAT exempted goods. 1084600 9.10)value of Purchase from Composition dealer 0 9.11)Val of goods imp/purc. in the course of

Import/Export/Interstate trade including E-I & E-II

purchases0

9.12)Val of goods received by stock

transfer/consignment transfer0

9.13)Total value of purchases (BNo. 9.1 to 9.5,

9.7,9.6.2, 9.8.2 and 9.9 to 9.12)1084600

9.22)Total input tax

(BNo 9.14 to 9.20)0

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10. Ineligible Input Tax Credit

10.1)Non-deductible input tax being restricted u/s 11 0 10.2)Non-deductible input tax-pre-registration purchases u/s 13 of VAT Act 0 10.3)Non-deductible input tax-under special rebating scheme u/s 14 read with Section 11 0 10.4)Non-deductible input tax-under partial rebating scheme u/s 17 of VAT Act 0 10.5)Non-deductible input tax relating to return of goods purchased 0 10.6)Others, Please Specify 0 10.7)Total Ineligible Input Tax Credit (BNo.10.1 to 10.6) 0

11. Eligible Input Tax Credit [BNo. 9.22 - BNo. 10.7] 0

Payment Details

Remarks: No Previous Payment

I/We hereby declare that the particulars furnished above are true and complete in all respects.

Date:................. Signature:.....................................

Place:................ Name and designation:...................

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