FORM J [see rule 7(1)(b) ] VALUE ADDED TAX MONTHLY RETURN TIN Month Year Name of the dealer: Commodity Exemptible Taxable Rate of Sl.no Description of goods code Total turnover(Rs.) Turnover (Rs.) turnover(Rs.) tax Tax due(Rs.) (1) (2) (3) (4) (5) (6) (7) (8) A. Payment details: : Tax payable (Rs.) Amount paid (Rs.) Sl.no Amount (Rs.) Crossed cheque /Crossed DD / Crossed Banker's cheque No. Date Bank Bank code Total: (in words)Rupees DECLARATION 1. 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. 2. I/We.......declare that I am/We are authorised by.......Proprietor/Partner/Board of Directors to sign the return Place: Signature: Seal Name: Status & relationship to the dealer: Date:
