Form VAT - III [See rule 23(1) of the Goa Value Added Tax Rules, 2005] Return of Sales and of tax payable for the period from (1)TIN:-D D M M Y Y Y Y (2) Name of the dealer. (3) Address of the dealer. (4) Turnover, taxable turnover of sales and computation of output tax. Amount A. Total turnover of sale received/receivable in respect of goods sold including value of goods transferred out of state otherwise than by way of sale. __________ B. Deductions (from the above sale) (1) Sales of exempted goods under rule 4(1)(b) (2) Sales on which no tax is leviable under rule4(1)(a) _________ __________ (3) Sales in the course of inter-state trade under rule 4(1)(c) __________ (4) Sales in the course of import into or export out of India under rule 4(1)(c ) __________ (5) Value of goods transferred or dispatched out of the state otherwise than by way of sales. (stock transferred) under rule 4(1)(e) __________ (6) Value of goods sent for sale to local agents under rule 4(1)(f). __________ (7) The amount of sale of goods returned within the prescribed time i.e. six months under rule 4(1)(d) __________ (8) Sum allowed as cash discount in the bill/tax invoice if it is included in the above sale __________ under section 2(ad). Total of (1) to (8) __________ C. Taxable Turnover of sales (A - B) __________ (5) A. Rate wise bifurcation of sales and output tax Value Tax 1. Sales taxable @ 1% 2. Sales taxable @ 4% 3. Sales taxable @ 12.5% 4. Sales of goods specified in Schedule 'C' (give rate wise) ____________ __________ B. Total ____________ __________ C. Sale of capital goods and industrial Amount of sales @4% inputs claimed under entry (23) and (53) Capital Goods Industrial inputs respe. of Schedule 'B' and included in Rs. Rs. taxable @ 4% sales shown above. (Please enclose separate statement of sales alongwith respective declaration in Form VAT - XXX and Form VAT - XXXIII) (6) Turnover of purchases Exempted Taxable Taxable Taxable others (@1%) (@4%) (@12.5%) ( ) (i) Imports from out of India. ... .... ... .... ... (ii) Interstate purchases ... .... ... .... ... (iii) Consignment transfers ... .... ... .... ... (iv) Local purchases from registered deal ers a) Against tax invoices ... .. ... ... ............ b) Against restricted tax invoice ... .... ... .... ... (v) Local purchases from composition dealers and unregistered dealers ... .... ... .... ... (vi) Others ... .... ... .... ... Total turnover of purchases ........................ ........................ (Please enclose separate statement of purchases, if any made against declaration Form VAT - XXX or Form VAT - XXXIII) (7) Input Tax Credit (a) Total admissible input tax on purchases covered under item 6(iv) above. .......... (b) Add: (i) ITC admissible on account of opening stock held on appointed date/date of registration ...... (ii) ITC admissible on capital goods ...... (iii) ITC carried over from previous tax period ..... ..... (iv) Entry tax paid, if any (photocopy of challans to be enclosed) ..... (v) 75% of net tax liability under the Net Present Value Compulsory Payment Scheme 2005. ...... Total of b(1) to b(5) ..... Total ITC of 7(a) & (b) ...... (c ) Reverse credit on account of :- (i) Goods (purchases) returned within the prescribed time..... (ii) On stock transfer (4%)-Section 6(3) ..... (iii) Apportionment for manufacturing of exempt goods ..... (iv ) Any of the contingencies covered under sub-section (2), (3) & (5) & 6 of Section 9. ...... (v) Others (please specify) ..... . Total reduction (C(i) to C(v)) ..... (8) Total input tax credit (7 (a) & 7(b)-7(c)) ..... (9) Amount of tax payable/refundable/carried forward (5B-8) ....... . (10) Outstanding liability to be set off against excess ITC, if any, under Amount (i) Goa VAT Act .... (ii) Goa Sales Tax Act .... (iii) Goa Tax on Entry of Goods Act .... (iv) Central Sales Tax Act ... _______ Total _______ (11) Net amount of tax refundable/carried forward (9-10) .... (12) No. and date of receipted challans under which payments are made and TDS Certificates attached to this return in proof of payment. B. No. and date of TDS Certificates(Form VAT - VII) Period Amount A. No. and date of challan Period Amount 1. 2. 3. 4. _________ Total _________ 1. 2. 3. _______ Total _______ (Attach separate statement if space is insufficient) Total payments 12A & 12B Rs. _______ (13) Details of Bank Account (only the changes in the Bank Account if any during the return period to be reported) Declaration I Shri / Smt ____________________________of M/s do solemnly declare that the particulars disclosed in this return are true to the best of my knowledge and belief. Place: Signature______________ Date: Proprietor/Partner/Director/
