Form Preview Example

Form VAT-R1

See rule 16(1) table) and 41(6(I)]

Original/Duplicate copy of return for the quarter ended on:

1. Dealer’s identity

D D M M					Y Y

Name and style of business

M/S

Address

Contact No.

T I N

Economic Activity Code

2. Gross turnover, taxable turnover of sales and computation of tax (See sections 2(1)(u), 3, 6 and 7 of the Act)

		(a) Description			(b) Value of goods			(c) Lists
2A. Sale price received/receivable in respect of goods sold plus value of goods exported out of								appended to
								the return
	State or disposed of otherwise than by sale or sent for sale to local agents (VAT dealers)							the return

2B.		Deductions
(1)		Sale outside the State (of goods purchased outside the State)						LS-1
(2)		Sale in the course of inter-State trade						LS-2
(3)		Sale in the course of import into India						LS-3
(4)		Sale in the course of export out of India						LS-4
(5)		Sale of exempted goods in the State
(6)		Sale of goods to UNICEF, and WHO.						LS-5
(7)		Value of goods sent for sale to local agents (VAT dealers)						LS-6
(8)		Value of goods exported out of State (Consignment transfers)						LS-7
(9)		Value of goods disposed of otherwise than by sale						LS-8
(10)		Total of (1) to (9)
2C.		Taxable turnover of sales 2A(b) – 2B(10)(b)						LS-9

2D.		(a) Break-up of 2C	(b) Effect of return of goods	(c) Net taxable turnover		(d) Rate	(e) Tax amount
		according to rate of tax	& (de-)/escalation [LS-10]	[(a) ± (b)]		of tax		[(c) X (d)]
(1)
(2)
(3)
(4)
(5)		Total tax amount

3. Purchase, import and receipt of goods and computation of tax paid on purchases made in the State

3A.	(a) Description		(b) Lists appended	(c) Amount		(d) Stock as on 31st Mar. last
Aggregate of price/value of goods, –			to return			To be given with return for 31/3
(1)	Purchased outside the State (for sale outside)		LP-1
(2)	Purchased in the course of export out of India		LP-2
(3)	Purchased in the course of inter-State trade		LP-3
(4)	Purchased in the course of import into India		LP-4
(5)	Imported into State		LP-5
(6)	Received for sale from dealers regd. under VAT		LP-6
(7)	(i) Purchases from VAT dealers on tax invoice		LP-7
	(ii) Other purchases in the State		LP-7
	(ii) Other purchases in the State
(8)	Total of rows (1) to (7)

3B.	(a) Break-up of 3A(7)(I)	(b) Effect of return of goods		(c) Net purchases	(d) Rate		(e) Tax paid
	according to rate of tax	& (de-)/escalation [LP-8]		[(a) ± (b)]		of tax	[(c) X (d)]

(1)
(2)
(3)
(4)
(5)	Total tax paid

4.Aggregate of tax levied on sale or purchase

(1)Sale tax 2D(5)

(2)Purchase tax 11(4)(d) Page 3

(3)Total tax (1) + (2)

5.Computation of input tax (See section 8 of the Act)

(1)Tax paid on purchases made in the State3B(5)(e)

(2)Less tax paid, not part of input tax 10G(3)(g) Page 3

(3)Input tax (1) – (2)

6. Tax payable, refundable or adjustable (See section 20 of the Act)

(1)Tax payable 4(3) –5(3)

(2)Tax adjusted under CST Act

(3)Refund claimed

(4)Excess carried forward

Note:– If 6(1) is a negative value, the absolute value thereof will first be adjusted against tax payable under the CST Act, if any and the balance carried forward for adjustment with future tax liability but refund may be claimed in case of:

(i)export of goods out of India, (ii) difference in rate of tax or (iii) inadvertent excess payment of tax, by making an application.

Date:

[Signature of authorised person]

7. Details of tax deposited

Serial	Name of treasury where tax
No.	deposited or Bank on which DD / Pay	Treasury receipt (TR) / DD / PO / RAO
	order drawn or Office from where	Type of	No.	Date	Amount
	RAO issued etc.	Instrument	No.	Date	Amount
	RAO issued etc.	Instrument
(1)
(2)
(3)
(4)
(5)
(6)

(7)Excess paid brought forward from last return

(8)	Total of rows (1) to (7)

For office use

	DCR	Date
	No.	Date
	No.

8. Account of forms printed under the Government authority/ required to be authenticated by the assessing authority

	Type	Opening stock at the	Blank forms received	Number of forms	Aggregate of amount of
Serial			or authenticated	Number of forms	Aggregate of amount of
				used during the	transactions for which
	of	beginning of the
No.			during the return
				return period	forms used
	Form	return period
			period



(1)

(2)	ST -38
	(Out)

(3)	VAT -

(4)	C

(5)	E-I

(6)	E-II

(7)	F

(8)	H

9. Statutory declarations and certificates received from other dealers furnished with the return

			Aggregate of
Serial	Type of	No. of	amount of
Serial	Type of	forms	transactions for
No.	form	forms	transactions for
No.	form	furnished	which forms
		furnished	which forms
			furnished

(1)	VAT-38(out)

(2)	VAT-

(3)	VAT-

(4)	VAT-

(5)	VAT-

(6)	VAT-

Serial	Type of	No. of	Aggregate of amount
		forms	of transactions for
No.	form
		furnished	which forms furnished

(7)C

(8)D

(9)E-I

(10)E-II

(11)F

(12)H

Declaration

I, _________________________________ (name in CAPITALS), hereby, solemnly affirm that I am authorised to furnish

this return and all its contents including tables 10 and 11, lists, statements, declarations, certificates and other documents appended to it or filed with it are true, correct and complete and nothing has been concealed therein.

Place:

Date:[Signature]

Status: Tick (a) applicable [Karta, proprietor, partner, director, president, secretary, manager, authorised officer]

(For use in the office of the assessing authority)

(1)Date of data entry in VAT- register/Computer:

(2)Signature of the official making the data entry: (Affix stamp of name & designation)

(3)Signature of the assessing authority with date: (Affix stamp of name & designation)

Acknowledgement

The undersigned acknowledges having received the original of this return on the date mentioned below:

(1) Date of receipt of return:	(2) [Signature with stamp of name and designation of receipt clerk]

Note:– 1. Reference to sections or schedules in the Act in the return is indicative and not comprehensive.

2.A dealer who has not dealt goods in the circumstances specified in Schedule E to the Act or section 3(3) of the Act during the return period, does not have to fill in the next page of the return.

10.Computation of tax paid in respect of goods purchased in the State from VAT dealers on tax invoice which is not to form part of input tax (See section 8(1) and Schedule E to the Act)

Circumstances in which tax paid in respect of purchase of certain goods not to form part of input tax

Purchase value

(a)

(b)

Petroleum based fuels and natural gas purchased from VAT dealers on tax invoice and not resold

Capital goods purchased from VAT dealers on tax invoice,

(1) For use mainly –

(i)

In the manufacture of exempted goods;

(ii)

In mining;

(iii)

In the telecommunications network;

(iv) In the generation and distribution of electric energy or other form of power;

(2)

Which forms part of gross block on the day cancellation of registration certificate takes effect

C. Paddy purchased from VAT dealers on tax invoice when such paddy or rice manufactured therefrom is

sold in the course of export out of India.

D. Rice purchased from VAT dealers on tax invoice when sold in the course of export out of India

All goods, except mentioned at A and B above, purchased from VAT dealers on tax invoice when,-

(1)

Used in the telecommunications network, in mining or in the generation and distribution of electricity

or other form of power

(2)

Exported out of State;

(3)

Disposed of otherwise than by sale;

(4)

Used in manufacture or packing of exempted goods (except when such goods are sold in the course

of export out of India);

(5)

Used in manufacture or packing of taxable goods, which goods are, ¾

(i) exported out of State; or

(ii) disposed of otherwise than by sale;

(6)

Left in stock, whether in the form purchased or in manufactured or processed form, on the day

cancellation of the registration certificate takes effect.

Total of A to E

G. Calculation of input tax at different rates

(b)

(c)

(d)

(e)

(f)

(g)=Total (b) to (f)

(1)

Break-up of F(b) according to tax

rates

(2)

Rate of tax

(3) Input tax to be reversed (1) x (2)

Note:- Where any goods purchased in the State are used or disposed of partly in the circumstances mentioned in column (a) against entries A to E above and partly otherwise, the purchase value of such goods shall be computed pro rata.

11. Purchase tax (See section 3(3) of the Act)

	Circumstances in which purchase tax levied	Purchase value of goods		Rate	Purchase
		taxable at different rates		of tax	tax
		taxable at different rates
	(a)		(b)	(c)	(d)
(1)	Taxable goods purchased in the State without payment of tax when such	(i)
	goods or the goods manufactured therefrom are either exported out of State or	(i)

	used or disposed of (except when sold in the course of export out of India) in a
		(ii)
	manner that no tax or CST is payable to the State	(ii)
	manner that no tax or CST is payable to the State

(2)	Goods purchased in the State at lower rate of tax for specified purposes but not	(i)
	made use of for the said purposes Tax computed under proviso to section 7(5)	(ii)
		(ii)
(3)	Paddy purchased in the State without payment of tax when such paddy or the
	rice manufactured therefrom is exported out of India
(4)	Total [(1)(i) + (1)(ii) + (2)(i) + (2)(ii) + (3)]

Note: Where any goods purchased in the State are used or disposed of partly in the circumstances mentioned in column

(a)against entries at serial number (1) and (2) above and partly otherwise, the purchase tax leviable on such goods shall be computed pro rata.

Date:

[Signature of authorised person]

Form LP-1

(See VAT-R1)

List of purchase of goods purchased outside the State (and sold outside the State) for the quarter ended

D D - M M - Y Y

Name and TIN of the registered dealer furnishing the list

Name and style of business

M/S

T I N

Economic Activity Code

Sr.	Name and	TIN	Sale	Date	Description	Purchase Value	State in	No. of
No.	address of		Invoice		of goods		which	declaration
	dealer/ person		No.				goods	in form 'C'
	from whom						purchased	issued, if
	goods							any
	purchased.
	1	2	3	4	5	6	7	8




					Total

Note : Total must tally with figures in 3A (1) (c) of the return.

DECLARATION

I, ____________________ (name in CAPITALS), hereby declare that the contents of the above list and table

are true and correct and nothing has been concealed therein.
Place	:	Full signature of the authorised signatory
Date	:	Name
		Status

Note :- 1. An authorised person alone shall sign each page of this list. A list signed by any person not authorised or an unsigned list shall be treated as no list.

2.Where a list runs into more than one page, each page will show both page totals and progressive totals

Form LP-2

(See VAT-R1)

List of purchase of goods in the course of export of goods out of the territory of India for the quarter ended

DD - M M - Y Y

Name and TIN of the registered dealer furnishing the list

Name and style of business

M/S

T I N

Economic Activity Code

Sr.	Name and	TIN	Sale	Date	Description	Quantity/	Value of	Details related to Foreign
No.	address of		Invoice		of goods	Weight	goods	Buyer
	dealer from		/Delivery
	dealer from		/Delivery					No.& date of	Name and
	whom		Note					No.& date of	Name and
	whom		Note					Agreement/	address of
	goods		No.					Agreement/	address of
	goods		No.					order of foreign	foreign buyer
	purchased.							order of foreign
								buyer for whom
								buyer for whom
								goods
								purchased

	1	2	3	4	5	6	7	8	9



						Total

Note : Total must tally with figures in 3A (2) (c) of the return.

DECLARATION

I, ____________________ (name in CAPITALS), hereby declare that the contents of the above list and table

are true and correct and nothing has been concealed therein.
Place	:	Full signature of the authorised signatory
Date	:	Name
		Status

Note :- 1. An authorised person alone shall sign each page of this list. A list signed by any person not authorised or an unsigned list shall be treated as no list.

2.Where a list runs into more than one page, each page will show both page totals and progressive totals

Form LP-3

(See VAT-R1/ R6/ R7/ R8/ R9/ R11)

List of purchase of goods in the course of interstate trade or commerce for the quarter ended

D D - M M - Y Y

Name and TIN of the registered dealer furnishing the list

Name and style of business

M/S

T I N

Economic Activity Code

A – List of purchases of goods- sold by transfer of documents during their movement.

Sr.	Name and	TIN	Sale	Date	Description	Quantity	Value of		Sr. No. of	Sr. No. of
No.	address of		Invoice/		of goods	/weight	goods		declaration	declaration
	the dealer/		Delivery						in form E-I	in Form 'c'
	the dealer/		Delivery						or E-II	issued, if
	person from		Note						or E-II	issued, if
	person from		Note						received,	any
	whom goods		No.						received,	any
	whom goods		No.						as the
	purchased.								as the
	purchased.								case may
									case may
									be

	1	2	3	4	5	6	7	8		9



						Total A

B- List of purchases of goods- other than covered by table-A.

Sr.	Name and	TIN	Sale	Date	Description	Quantity	Value of	No. of
No.	address of		Invoice/		of goods	/weight	goods	declaration
	the dealer/		Delivery					in Form 'c'
	the dealer/		Delivery					issued, if
	person from		Note					issued, if
	person from		Note					any
	whom goods		No.					any
	whom goods		No.
	purchased.

	1	2	3	4	5	6	7	8



						Total B

Note : Gross Total of Total A and Total B must tally with figure in 3A (3)(c) of the return.

DECLARATION

I, ____________________ (name in CAPITALS), hereby declare that the contents of the above list and table

are true and correct and nothing has been concealed therein.

Place	:	Full signature of the authorised signatory
Date	:	Name
		Status

Note :- 1. An authorised person alone shall sign each page of this list. A list signed by any person not authorised or an unsigned list shall be treated as no list.

2.Where a list runs into more than one page, each page will show both page totals and progressive totals

Form LP-4

(See VAT-R1)

List of purchase of goods in the course of import of the goods into the territory of India for the quarter ended

D D - M M - Y Y

Name and TIN of the registered dealer furnishing the list

Name and style of business

M/S

T I N

Economic Activity Code

Sr.	Name and	TIN, if	Sale	Date	Description	Quantity	Value of	Vessels or	Name of	No. and
No.	address of the	any	Invoice/		of goods	/Weight	goods	Airlines	the	date of
	dealer from		Delivery					name, date	Railway,	receipt
	whom goods		Note No.					of shipping/	Airport,	issued by
	purchased							Airfreight	shipping,	Railway,
								carrier No.	road	Air-port,
								by which	transport	shipping,
								goods were	company	road
								transported	by which	transport
								from outside	goods were
								the territory	transported
								of India .	in India..

Total

Note : Total must tally with figures in 3A (4) (c) of the return.

DECLARATION

I, ____________________ (name in CAPITALS), hereby declare that the contents of the above list and table

are true and correct and nothing has been concealed therein.
Place	:	Full signature of the authorised signatory
Date	:	Name
		Status

Note :- 1. An authorised person alone shall sign each page of this list. A list signed by any person not authorised or an unsigned list shall be treated as no list.

2.Where a list runs into more than one page, each page will show both page totals and progressive totals

Form LP-5

(See VAT-R1/ R6)

D D - M M - Y Y

List of goods imported into the State for the quarter ended

Name and TIN of the registered dealer furnishing the list

Name and style of business

M/S

T I N

Economic Activity Code

Sr.

No.

Name and address of the consignor

TIN

Delivery Note No.

Date

Description of goods

Quantity

Break-up of Value of goods leviable to tax at different rates in the State of Haryana

@ @

No. of declaration in Form 'F' issued.

Total

Gross total of Col. 7 to 10

Note : Gross total of columns 7 to 10 must tally with figure in 3A (5)(c) of the return.

DECLARATION

I, ____________________ (name in CAPITALS), hereby declare that the contents of the above list and table

are true and correct and nothing has been concealed therein.
Place	:	Full signature of the authorised signatory
Date	:	Name
		Status

Note :- 1. An authorised person alone shall sign each page of this list. A list signed by any person not authorised or an unsigned list shall be treated as no list.

2. Where a list runs into more than one page, each page will show both page totals and progressive totals

Form LP-6

(See VAT-R1)

List of goods received for sale from other VAT dealers in the State for the quarter ended

D D - M M - Y Y

Name and TIN of the VAT dealer furnishing the list

Name and style of business

M/S

T I N

Economic Activity Code

Sr.	Name and address	TIN	Name of	Quantity	Value	Details of goods sold during
No	of VAT dealer from		Commodity			the period
.	whom goods
	received
	received					Quantity	Sale Value
						Quantity	Sale Value

	1	2	3	4	5	6	7




				Total

Note : Total must tally with figures in 3A (6) (c) of the return.

DECLARATION

I, ____________________ (name in CAPITALS), hereby declare that the contents of the above list and table

are true and correct and nothing has been concealed therein.
Place	:	Full signature of the authorised signatory
Date	:	Name
		Status

Note :- 1. An authorised person alone shall sign each page of this list. A list signed by any person not authorised or an unsigned list shall be treated as no list.

2.Where a list runs into more than one page, each page will show both page totals and progressive totals

3.There will be a single entry in respect of each commodity

(i)received during the period

(ii)sold during the period

(iii)lying in stock at the end of the period

Form LP-7

(See VAT-R1/ R6/ R11)

Y Y

List of purchase of goods in the State for the quarter ended

Name and TIN of the VAT dealer furnishing the list

Name and style of business

M/S

T I N

Economic Activity Code

A. List showing purchase of goods from VAT dealers on tax invoice at full rate of tax

Sr.

(a)Name with TIN of VAT dealer from whom goods purchased

(b)Turnover charged to tax at different rates

No.

Name

TIN

(i)@

(ii)@

(iii)@

…

Total:

Gross total (i) + (ii) + (iii)

B. List of purchase of goods from VAT dealers on tax invoice at lower rate of tax applicable under section 7(2)

Sr.

(a)Name with TIN of VAT dealer from whom goods purchased

(b)Turnover charged to tax at different rates

No.

Name

TIN

(i) @ 0%

(ii) @

(iii) @

…

Total:

Gross total (i) + (ii) + (iii)

C. List showing purchase of goods from lump sum dealers

Sr.

(a)Name with TIN of lump sum dealer from whom goods purchased

(b)Break-up of turnover of purchase of goods according to

No.

rate of tax otherwise applicable on goods

(i)Name

(ii)TIN, if any

(i)@

(ii)@

(iii)@

…

Total:

Gross total (i) + (ii) + (iii)

D. List showing purchases of goods in the State without payment of tax

Sr.

(a)Name of person/dealer from whom goods purchased

(b)Break-up of turnover of purchase of goods according to rate of tax

No.

otherwise applicable under section 7(1) of the Act

(i)Name

(i)@

(ii)@

(iii)@

…

Total:

Gross total (i) + (ii) + (iii):

Note:– In lists A, B, C and D, –

1.There will be a single entry in respect of each dealer/person from whom goods have been purchased during the return period. The date recorded on a tax/sale invoice by the selling dealer will be taken as the date of purchase for the purpose of aggregating purchases made from him during the return period and turnover of purchase will be the amount on which tax has been charged in the invoice.

2.Where a list runs into more than one page, each page will show both page totals and progressive totals. Sum of gross totals in lists A and B must tally with entry 3A(7)(i)(c) in the return and in lists C and D with entry 3A(7)(ii)(c) in the return.

Declaration

I, ___________________________ (name in CAPITALS), hereby declare that the contents of the above lists of purchases are true

and correct and nothing has been concealed therein.

Place	:	Full signature of the authorised signatory
Date	:	Name
		Status

Note:– An authorised person alone shall sign each page of this list. A list signed by any person not authorised or an unsigned list shall be treated as no list.

Economic Activity Code

D D M M Y Y

Form LP-8

(See VAT-R1 )

List of goods returned and escalation or de-escalation in the price of goods purchased for the quarter ended

Name and TIN of the VAT dealer furnishing the list

Name and style of business

M/S

T I N

A. List of return of goods purchased

		Particulars of Debit-Cum-Delivery note (DDN) issued for return of the goods to the					Particulars of the original sale invoice(s) issued
	Sr.	person who originally sold the goods						for the sale of the goods
	No.	Name of the person to whom	TIN, if held	No.	Date	Amount	No.	Date	Amount	Nature of sale
		DDN issued
		(a)	(b)	(c)	(d)	(e)	(f)	(g)	(h)	(i)
1.

2.

3.

	…

					Total:			Total:
	B. List of escalation in the price of goods purchased
	B. List of escalation in the price of goods purchased
		Particulars of supplementary sale invoice raised by the seller for escalation in the					Particulars of the original sale invoice(s) issued
	Sr.	price of the goods sold previously by him						for the sale of the goods
	No.	Name of the seller	TIN, if held	No.	Date	Amount	No.	Date	Amount	Nature of sale
		(a)	(b)	(c)	(d)	(e)	(f)	(g)	(h)	(i)
1.

2.

3.

	…

					Total:			Total:
	C. List of de-escalation in the price of goods purchased
	C. List of de-escalation in the price of goods purchased
		Particulars of Debit note (DN) issued to the seller for de-escalation in the price of					Particulars of the original sale invoice(s) raised
	Sr.	the goods sold by him previously						by the seller for the sale of the goods
	No.	Name of the person on whom	TIN, if held,	DN	Date	Amount	No.	Date	Amount	Nature of sale
		DN raised	by him	No.
		(a)	(b)	(c)	(d)	(e)	(f)	(g)	(h)	(i)
1.

2.

3.

	…

					Total:			Total:

Note:– In lists A, B and C,–

1.There will be a separate entry in respect of each return of goods and escalation or de-escalation in prices of goods purchased. If more than one sale invoices cover original sale of such goods and separate linking with each invoice is not possible, then, particulars of all the related invoices should be given.

2.‘Nature of purchase’ in column (i) means – purchase made in the State from a VAT dealer on tax invoice (‘Local purchase – VAT’), any other purchase made in the State (‘Local sale – Others’), purchase made in the course of inter-State trade (‘Inter-State purchase’), purchase made in the course of export of goods out of India (‘Export sale’), and purchase made in the course of import of goods into India (‘Import sale). Entries relating to a particular nature of purchase and in that category, purchases made to a particular person/dealer should be grouped together and totalled separately.

3.Where a list runs into more than one page, each page should show both page totals and progressive totals.

D. Summary of value of goods returned and escalation or de-escalation in the price of goods purchased

Nature of purchase and break-up of			Value of goods	Escalation in price of	De-escalation in price	Net effect of goods
turnover according to rate of tax			returned	goods purchased	of goods purchased	returned and
						(de−)/escalation
(a)			(b)	(c)	(d)	(e)=(c) -(b)-(d)
(1) Local purchases – VAT & others

Break-up	(i)@	%

of	(ii)@	%

Local purchases	(iii)@	%

–VAT & others	(iv)@	%

(2) Inter-State purchases

Break-up	(i)@	%

of	(ii)@	%

Inter-State	(iii)@	%

purchases	(iv)@	%

(3) Export purchases

(4) Import purchases

Declaration

I, ___________________________ (name in CAPITALS), hereby declare that the contents of the above lists and tables

are true and correct and nothing has been concealed therein.

Place	:	Full signature of the authorised signatory
Date	:	Name
		Status

]

Note – An authorised person alone shall sign each page of this list. A list signed by any person not authorised or an unsigned list shall be treated as no list.

Form LS-1

(See VAT-R1)

List of sale of goods sold outside the State (and purchased outside the State) for the quarter ended

D D - M M - Y Y

Name and TIN of the registered dealer furnishing the list

Name and style of business

M/S

T I N

Economic Activity Code

Sr.	Name and address of the	TIN, if	Sale	Date	Description	Sale Value	State in
No.	purchaser	applicable	Invoice		of goods		which
			No.				goods
							sold

	1	2	3	4	5	6	7

Total

Note : Total must tally with figures in 2B(1)(b) of the return.

DECLARATION

I, ____________________ (name in CAPITALS), hereby declare that the contents of the above list and table

are true and correct and nothing has been concealed therein.
Place	:	Full signature of the authorised signatory
Date	:	Name
		Status

Note :- 1. An authorised person alone shall sign each page of this list. A list signed by any person not authorised or an unsigned list shall be treated as no list.

2Where a list runs into more than one page, each page will show both page totals and progressive totals

Form LS-2

(See VAT-R1)

List of sale of goods in the course of interstate trade and commerce for the quarter ended

D D - M M - Y Y

Name and TIN of the registered dealer furnishing the list

Name and style of business

M/S

T I N

Economic Activity Code

A- List of sale of goods – sold by transfer of documents during their movement.

Sr.	Details of purchases		Name and	TIN (if	Sale	Date	Description	Quantity /	Value of	Sr. No. of
No			address of	any) with	Invoice		of goods	weight	goods	declaration in
.			the purchaser	date of	No.					form 'C'
				validity						received.

	Name of the	Sale Invoice
	dealer from	No. & Date
	whom goods
	purchased

	1	2	3	4	5	6	7	8	9	10

Total A

B – List of sale of goods – other than covered by Table A.

Sr.

No.

Name and address of the purchaser

TIN (if

any) with date of validity

Sale

Invoice

No.

Date

Description

of goods

Quantity / weight

Value of

Total B

goods

Value	of the goods		No. of
Value	of the goods		No. of
			declaration	in
Sold		Sold without	declaration	in
against		declaration	form 'C'
against		declaration	received, if
declaratio		in form 'C'	received, if
declaratio		in form 'C'	applicable
n in form		(b)	applicable
n in form		(b)
'C'
(a)

Note : Gross total of Total A and Total B( 7) must tally with figures in 2B(2)(b) of the return.

DECLARATION

I, ____________________ (name in CAPITALS), hereby declare that the contents of the above list and table

are true and correct and nothing has been concealed therein.
Place	:	Full signature of the authorised signatory
Date	:	Name
		Status

Note :- 1. An authorised person alone shall sign each page of this list. A list signed by any person not authorised or an unsigned list shall be treated as no list.

2 Where a list runs into more than one page, each page will show both page totals and progressive totals

Form LS-3

(See VAT-R1)

List of sale of goods in the course of import of the goods into the territory of India for the quarter ended

D D - M M - Y Y

Name and TIN of the registered dealer furnishing the list

Name and style of business

M/S

T I N

Economic Activity Code

Sr.	Name and	TIN,	Sale	Date	Description	Quantity	Value of the	Name of	Name of	No. &
No.	address of	if	Invoice		of goods	/Weight	goods	vessel/	the	date of
	the	any	No.					Airlines and	Railway,	the
	purchasing							number and	Airport,	receipt
	dealer							date of bill of	Road	issued by
								lading and	Transport	the
								date of its	company	Railway,
								endorsement	or Post	Airport,
								to purchaser,	office by	Road
								if applicable	which	transport
									goods	company
									dispatched	or Post
									in India.	Office.
	1	2	3	4	5	6	7	8	9	10
			3	4	5	6	7	8	9	10



						Total

Note : Total must tally with figures in 2B(3)(b) of the return.

DECLARATION

I, ____________________ (name in CAPITALS), hereby declare that the contents of the above list and table

are true and correct and nothing has been concealed therein.
Place	:	Full signature of the authorised signatory
Date	:	Name
		Status

Note :- 1. An authorised person alone shall sign each page of this list. A list signed by any person not authorised or an unsigned list shall be treated as no list.

2Where a list runs into more than one page, each page will show both page totals and progressive totals

Form LS-4

(See VAT-R1)

List of sale of goods in the course of export of the goods out of the territory of India for the quarter ended

D D - M M	- Y Y
Name and TIN of the registered	dealer furnishing the list

Name and style of business

M/S

T I N

Economic Activity Code

A - List of sale of goods under section 5 (1) of the Central Act– out of purchases u/s 5(3) of Central Act.

	Sale			No. & date of					Vessel or Airlines name,
	Sale		Name &	agreement/					date of shipping/ Airfreight
Sr.	Invoice/		Name &	agreement/	Description	Quantity/	Value of the	Country of	date of shipping/ Airfreight
Sr.	Invoice/	Date	address of the	order of foreign	Description	Quantity/	Value of the	Country of	carrier number by which
No.	Delivery	Date	address of the	order of foreign	of goods	Weight	goods	destination	carrier number by which
No.	Delivery		foreign buyer	buyer to whom	of goods	Weight	goods	destination	goods dispatched out of
	Note No.		foreign buyer	buyer to whom					goods dispatched out of
	Note No.			goods sold					India.
				goods sold					India.

	1	2	3	4	5	6	7	8	9

Total A

B - List of sale of goods under section 5 (1) of the Central Act– other than covered by Table –A.

	Sale			No. & date of					Vessel or Airlines name,
	Sale		Name &	agreement/					date of shipping/ Airfreight
Sr.	Invoice/		Name &	agreement/	Description	Quantity/	Value of the	Country of	date of shipping/ Airfreight
Sr.	Invoice/	Date	address of the	order of foreign	Description	Quantity/	Value of the	Country of	carrier number by which
No.	Delivery	Date	address of the	order of foreign	of goods	Weight	goods	destination	carrier number by which
No.	Delivery		foreign buyer	buyer to whom	of goods	Weight	goods	destination	goods dispatched out of
	Note No.		foreign buyer	buyer to whom					goods dispatched out of
	Note No.			goods sold					India.
				goods sold					India.

	1	2	3	4	5	6	7	8	9

Total B

C - List of sale of goods under section 5 (3) of the Central Act.

								No. and	Number and	Name	No. & date of the
	Sale		Name &					No. and	date of	and	No. & date of the
	Sale		Name &				Value of	date of	date of	and	certificate in form
Sr.	Invoice/		address of		Description	Quantity/	Value of	date of	agreement/	address	certificate in form
Sr.	Invoice/	Date	address of	TIN	Description	Quantity/	the	purchase	agreement/	address	'H' or form VAT-
No.	Delivery		the		of goods	Weight	goods	order given	order received	of the	D2 issued by the
	Note No.		purchaser				goods	order given	by exporter from	foreign	D2 issued by the
	Note No.		purchaser					by exporter	by exporter from	foreign	purchaser
								by exporter	foreign buyer.	buyer	purchaser
									foreign buyer.	buyer

	1	2	3	4	5	6	7	8	9	10	11

Total C

Note : Gross total of Total A, Total B and Total C must tally with figures in 2B(4)(b) of the return.

DECLARATION

I, ____________________ (name in CAPITALS), hereby declare that the contents of the above list and table

are true and correct and nothing has been concealed therein.
Place	:	Full signature of the authorised signatory
Date	:	Name
		Status

Note :- 1. An authorised person alone shall sign each page of this list. A list signed by any person not authorised or an unsigned list shall be treated as no list.

2Where a list runs into more than one page, each page will show both page totals and progressive totals

Form LS-5

(See VAT-R1)

List of sale of goods to UNICEF, UNTAB, WHO, other prescribed UN Bodies and Foreign Missions for the quarter ended

DD - M M - Y Y

Name and TIN of the registered dealer furnishing the list

Name and style of business

M/S

T I N

Economic Activity Code

Sr.	Sale	Date	Description of	Sale Value	Name of the purchasing
No.	Invoice		goods		agency/ mission
	No.

	1	2	3	4	5


			Total

Note : Total must tally with figures in 2B(6)(b) of the return.

DECLARATION

I, ____________________ (name in CAPITALS), hereby declare that the contents of the above list and table

are true and correct and nothing has been concealed therein.
Place	:	Full signature of the authorised signatory
Date	:	Name
		Status

Note :- 1. An authorised person alone shall sign each page of this list. A list signed by any person not authorised or an unsigned list shall be treated as no list.

2Where a list runs into more than one page, each page will show both page totals and progressive totals

Form LS-6

(See VAT-R1)

List of goods consigned for sale to agents (who are VAT dealers) In the State for the quarter ended

D D - M M - Y Y

Name and TIN of the VAT dealer furnishing the list

Name and style of business

M/S

T I N

Economic Activity Code

Sr.	Name and	TIN	Name of	Quantity	Value	Details of goods sold by		Stock of
No.	address of VAT		Commodity			agent(s) during the period		goods lying
	dealer to whom							with
	goods were					Quantity	Sale Value	agent(s) at
	goods were							agent(s) at
	dispatched							the end of
								the period
	1	2	3	4	5	6	7	8




				Total

Note : Total must tally with figures in 2B(7)(b) of the return.

DECLARATION

I, ____________________ (name in CAPITALS), hereby declare that the contents of the above list and table

are true and correct and nothing has been concealed therein.
Place	:	Full signature of the authorised signatory
Date	:	Name
		Status

Note :- 1. An authorised person alone shall sign each page of this list. A list signed by any person not authorised or an unsigned list shall be treated as no list.

2Where a list runs into more than one page, each page will show both page totals and progressive totals

3.There will be a single entry in respect of each commodity.

(i)sent during the period to the agent(s)

(ii)sold by agent(s) during the period

(iii)lying in stock with the agent(s) at the end of the period

Form LS-7

(See VAT-R1)

List of goods exported out of the State (consignment / transfers) for the quarter ended

D D - M M - Y Y

Name and TIN of the registered dealer furnishing the list

Name and style of business

M/S

T I N

Economic Activity Code

Sr.	Delivery	Date	Name and address	TIN	Description	Quantity/	Value of the	No. of
No.	Note		of the Consignee		of goods	Weight	goods	declaration in
	No.							Form 'F'
								received.

	1	2	3	4	5	6	7	8



						Total

Note : Total must tally with figures in 2B(8)(b) of the return.

DECLARATION

I, ____________________ (name in CAPITALS), hereby declare that the contents of the above list and table

are true and correct and nothing has been concealed therein.
Place	:	Full signature of the authorised signatory
Date	:	Name
		Status

Note :- 1. An authorised person alone shall sign each page of this list. A list signed by any person not authorised or an unsigned list shall be treated as no list.

2Where a list runs into more than one page, each page will show both page totals and progressive totals

Form LS-8

(See VAT-R1)

List of goods disposed of otherwise than by sale for the quarter ended

D D - M M - Y Y

Name and TIN of the registered dealer furnishing the list

Name and style of business

M/S

T I N

Economic Activity Code

Sr.	Description of	Quantity	Value	Value of goods purchased from			Input tax
No.	goods						on
							purchases
				VAT dealers in	Outside the	Other	from VAT
				the State	State against	sources	from VAT
				the State	State against	sources	dealers in
					‘C’ Form		dealers in
					‘C’ Form		the State
							the State
	1	4	5				8




		Total

Note : Total must tally with figure in 2B(9)(b) of the return.

DECLARATION

I, ____________________ (name in CAPITALS), hereby declare that the contents of the above list and table

are true and correct and nothing has been concealed therein.
Place	:	Full signature of the authorised signatory
Date	:	Name
		Status

Note :- 1. An authorised person alone shall sign each page of this list. A list signed by any person not authorised or an unsigned list shall be treated as no list.

2 Where a list runs into more than one page, each page will show both page totals and progressive totals

Form LS-9

(See VAT-R1)

D D

List of sale of goods in the State for the quarter ended

Name and TIN of the VAT dealer furnishing the list

Name and style of business

M/S

T I N

Economic Activity Code

A. List showing sale of goods to registered dealers at full rate of tax

Sr.

Name with TIN of the registered dealer to whom goods sold

Turnover of sale taxable at different rates

No.

(a)

(b)

(i)Name

(ii)TIN

(i)@

(ii)@

(iii)@

…

Total:

B. List showing sale of goods to authorised dealers at lower rate of tax applicable under section 7(2)

Sr.	Name with TIN of authorised dealers to whom goods sold				Turnover of sale taxable at different rates
No.		(a)				(b)
	(i)Name		(ii)TIN		(i) @ 0%	(ii) @	%	(ii)@	%
1.
2.
3.
…
				Total:

Note:– In lists A and B,

1.There will be a single entry in respect of each registered/authorised dealer to whom goods have been sold during the return period. The date recorded on a tax/sale invoice will be taken as the date of sale for the purpose of aggregating sale made during the return period and turnover of sale will be the amount on which tax has been charged in the invoice.

2.Where a list runs into more than one page, each page will show both page totals and progressive totals.

D. Summary of taxable sales made in the State during the return period

Sr.	Category of sale			Turnover of sale taxable at different rates of tax
No.	(a)						(b)
		(i)@	%	(ii)@	%	(iii)@	%	(iv)@	%	(v)@	%
1.	Sale to registered dealers at
	full rate of tax (List A)
2.	Sale to authorised dealers at
	lower rate of tax (List B)
3.	Sale to unregistered dealers
	& consumers at full rate of
	tax
4.	Total of rows 1 to 3:

Gross total of sub-columns (i) to (v):

Note:– Gross total of sub-columns (i) to (v) must tally with figure in 2C(b) of the return.

Declaration

I, ___________________________ (name in CAPITALS), hereby declare that the contents of the above lists and tables

are true and correct and nothing has been concealed therein.

Place	:	Full signature of the authorised signatory
Date	:	Name
		Status

Note: An authorised person alone shall sign each page of this list. A list signed by any person not authorised or an unsigned list shall be treated as no list.

Form LS-10
(See VAT-R1)
List of goods returned and escalation or de-escalation in the price of goods sold
for the quarter ended
	D D	M M	Y Y

Name and TIN of the VAT dealer furnishing the list

Name and style of business

M/S

T I N

Economic Activity Code

A. List of return of goods sold

Particulars of Debit-Cum-Delivery note (DDN) issued by the person to whom the

Particulars of the original sale invoice(s) issued

Sr.

goods were sold

and who returned the same

for the sale of the goods

No.

Name of the person issuing DDN

TIN, if held

No.

Date

Amount

No.

Date

Amount

Nature of sale

(a)

(b)

(c)

(d)

(e)

(f)

(g)

(h)

(i)

…

Total:

B. List of escalation in the price of goods sold

Particulars of supplementary sale invoice issued to the purchaser for escalation in

Particulars of the original sale invoice(s) issued

Sr.

the price of the goods sold previously

for the sale of the goods

No.

Name of the purchaser

TIN, if held

No.

Date

Amount

No.

Date

Amount

Nature of sale

(a)

(b)

(c)

(d)

(e)

(f)

(g)

(h)

(i)

…

Total:

C. List of de-escalation in the price of goods sold

Particulars of Debit note (DN) raised by the purchaser for de-escalation in the

Particulars of the original sale invoice(s) issued

Sr.

price of the goods sold to him previously

for the sale of the goods

No.

Name of the person raising DN

TIN, if held

No.

Date

Amount

No.

Date

Amount

Nature of sale

(a)

(b)

(c)

(d)

(e)

(f)

(g)

(h)

(i)

…

Total:

Note:– In lists A, B and C,–

1.There will be a separate entry in respect of each return of goods and escalation or de-escalation in prices of goods sold. If more than one sale invoices cover original sale of such goods and separate linking with each invoice is not possible, then, particulars of all the related invoices should be given.

2.‘Nature of sale’ in column (i) means – sale made in the State to a VAT dealer on tax invoice (‘Local sale – VAT’), any other sale made in the State (‘Local sale – Others’), sale made in the course of inter-State trade (‘Inter-State sales’), sale made in the course of export of goods out of India (‘Export sale’), and sale made in the course of import of goods into India (‘Import sale). Entries relating to a particular nature of sale and in that category, sales made to a particular person/dealer should be grouped together and totaled separately.

3.Where a list runs into more than one page, each page should show both page totals and progressive totals.

D. Summary of value of goods returned and escalation or de-escalation in the price of goods sold

Nature of sale and break-up of				Value of goods	Escalation in price of	De-escalation in price	Net effect of goods
turnover according to rate of tax				returned	goods sold	of goods sold	returned and
							(de−)/escalation
	(a)			(b)	(c)	(d)	(e)=(c) -(b)-(d)
(1) Local sales – VAT & others

	Break-up	(i)@	%

	of	(ii)@	%

local sales		(iii)@	%

–VAT & others		(iv)@	%

(2)	Inter-State sales

	Break-up	(i)@	%

	of	(ii)@	%

Inter-State		(iii)@	%

	Sales	(iv)@	%

(3) Export sales

(4) Import sales

Declaration

I, ___________________________ (name in CAPITALS), hereby declare that the contents of the above lists and tables

are true and correct and nothing has been concealed therein.

Place	:	Full signature of the authorised signatory
Date	:	Name
		Status

Note – An authorised person alone shall sign each page of this list. A list signed by any person not authorised or an unsigned list shall be treated as no list.

Question	Answer
Form Name	Vat R1 Form
Form Length	23 pages
Fillable?	No
Fillable fields	0
Avg. time to fill out	5 min 45 sec
Other names	vat return form pdf, vat form pff, vat return form, fill online vat form

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