FORM X TRIPURA VALUE ADDED TAX ACT, 2004 RETURN FORM ( Under Rule 18(1) of TVAT Rules ) 1. Tax Period : Month /Quarter ______________________ Year : _________ 2. Dealer's TIN. : _________________________ 3. Name of the Dealer : __________________________________________________ 4. Address: ____________________________________________________________ 5. Economic Activity Code: __________________ 6. Purchase Exempt or Non Creditable Purchases : ____________________________ 7. Purchase from Domestic Supplier : Sl.No. Tax Rate Value (Excluding VAT) Tax Paid Total 8. Total Purchase (6 + 7) Value (Excluding VAT): _________ VAT Paid :_______ Sales Value (Excluding VAT) VAT Paid 9. Total Sales 10. Less : Exempt Sales 11. Less : Export 12. Less : Stock Transfer 13. Less : Inter State Sales 14. Sales Within Tripura 15. Less : Sales Return 16. Taxable Sales 17. *Taxable Sales : Sl.No. Item Code Item Description Period From Period To Tax Rate Value (Excluding VAT) VAT Payable Total 89 18. Tax Due From Previous Month / Quarter : _________ 19. Interest due from Previous Month/Quarter or Current Month / Quarter _________ on Account of Submission of Return not in time 20. Total Amount Payable (17 + 18 + 19) _________ 21. Tax Amount Payable (17 + 18) _________ 22. Tax Credit for Purchases in the Previous Periods. _________ 23. Tax credit on account of purchase of Capital Goods _________ 24. Total Tax credit (22 + 23) _________ 25. Tax Payable to Govt. (20 - 24) _________ 26. Tax Credit Forward (24 - 20) _________ 27. Total Amount Paid _________ 28. Amount paid into Government Treasury : __________as per Challan No.(Bank Scroll No.) : ____________ Date : _____________ The above statements are true to the best of my knowledge and belief. Date : _________________ (Signature of the Dealer or Authorised Person) Note : "*" - In case number of commodities are more than the space provided, annexure may be used.
