FORM N Return showing the details of the amount received or return due to price variation [See Rule 7(6), 8(4)] Assessment year ....... To The Assessing Authority, .............. Sir, I, ..........son of ................ On behalf of the dealer carrying on business known as ...............furnish a statement the particulars to determine the liability to tax or the eligibility for refund of tax paid due to price variation received / returned during the year ending .............. 1 Name and address of the dealer 2 Description of goods 3 Amount received due to price variation in purchase / sale during the year 4 Rate or rates of tax applicable and amount disclosed in col. 3 above with break up figures 5 Amount of tax payable / input tax credit reversed on the price variation received 6 Amount returned due to price variation in purchase / sale during the year 7 Rate or rates of tax applicable on the amount disclosed in col.6 above with breakup figures 8 Tax refundable / input tax credit on the amount disclosed in col.6 9 Crossed cheque / Crossed DD / Banker's cheque No., Chalan No. and date of payment of the amount shown in col.5 I / We declare that to the best of my / our knowledge and belief the information furnished in the above statement is true, correct and complete. Signature Place: Name Date: Status and relationship to the dealer
