FORM K [see rule 7(1)(d)] VALUE ADDED TAX MONTHLY RETURN Return to be filed by the dealer who has opted to pay tax under sub-section( 4 ) of section 3 and section 12 Name of the dealer: Main Commodity dealt Code To The Assessing Authority,........ Circle. (in Rs.) 1 Turnover of second and subsequent sales 2 Tax collected by the dealer 3(a) Tax due at % 3(b) Tax due under Sec.12 on Rs........@ 1% + Rs......@ 4% + Rs.....@ 12.5% 3( c ) Total (D) 4 Amount adjusted,if any * (A) 5 Tax paid: (D) - (A) 6 Mode of payment: Crossed Cheque / Crossed DD / Banker's Cheque / Receipt No. Date: Bank Bank code *Reasons for adjustment: 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 returns. Place: Signature: Date: Name: Status & relationship to the dealer:
