Department of Commercial Taxes ORM-YY ANNUAL INPUTTAXCREDIT STAT E F MENT [See rule 28(2)] DigOf e: meoeD i l DesofItTxCdite year..... re : a Cdonpu leaericer l fhtitaiivsonAissessndress Nad A : : n gibleadu heiurnize l it ddgt Tltoa (inRs). InputTax Crediton capildtagoos (inR)s. OpienngBlaance ITCeliigblediurng hteyear Tltoa ITCuitlidze Cliosngblaance PLACE : Signature: DATE : Name and Designation / Status and Relationship to the dealer with seal:
