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Footer 2 10185

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Field1

1

FORM 17 11100 480 7 -1 Times New Roman 14.25 Field5

1

Tin -1 1100 2160 5900 240 0 -1 Times New Roman 10 Field60

1

Return for the quarter ending on 960 2700 240 0 Times New Roman 10 Field77

1

[See Rule 20(2)(a)] 480 11100 240 1 Times New Roman 10 Field79

1

Format(ToDate,"dd-MMMMMMMMMMMM") -1 2700 960 1200 240 0 Times New Roman 10 Field80

1

CompanyName -1 2000 1440 5000 240 0 -1 Times New Roman 10 Field81

1

Consolidated / Branch 1200 2000 240 0 Times New Roman 10 Field8

0

Goods taxable under section 8(i) 6500 2300 480 1 Times New Roman 10 Field9

0

Goods taxable under section 8(ii) -1 8800 2300 480 1 -1 Times New Roman 10 Field10

0

400 480 1 Times New Roman 10 Field133

2

Instruction for giving particulars against each item of the return in form 17: -1 3840 11100 240 0 -1 Times New Roman 10 Field134

2

Challan No. 720 2500 240 0 Times New Roman 10 Field75

1

of the year 3900 960 900 240 0 Times New Roman 10 Field76

1

Year(ToDate) -1 4800 960 900 240 0 -1 Times New Roman 10 Field145

1

Name of the dealer 1440 2000 240 0 Times New Roman 10 Field6

1

Address :- 1680 1100 480 0 Times New Roman 10 Field7

1

CompanyAdd -1 1100 1680 5900 480 0 -1 Times New Roman 10 Field2

1

R.C. NO. 2160 1100 240 0 Times New Roman 10 Field4

1

7400 1200 3700 1920 2 16777215 1 1 Times New Roman 9.75 Field78

1

For office use 7500 1275 3500 240 1 Times New Roman 10 Field82

1

D D M M Y Y Y Y 7500 1515 3500 240 1 Times New Roman 10 Field83

1

Date of ______________________ Receipt 7500 1755 3500 480 0 Times New Roman 10 Field84

1

7500 2235 3500 240 0 Times New Roman 10 Field85

1

Signature........................................... 7500 2475 3500 240 0 Times New Roman 10 Field86

1

Designation..................................... 7500 2715 3500 240 0 Times New Roman 10 Field3

0

400 6100 480 1 Times New Roman 10 Field11

0

EXSALES_VAT_GROSS+EXSALES_MRP_GROSS+SALES_VAT_GROSS+SALES_MRP_GROSS+SALES_IS_EX_GROSS+SALES_IS_V1_GROSS+SALES_IS_V4_GROSS+SALES_IS_V125_GROSS+SALES_IS_VOTH_GROSS+SIE_IS_GROSS -1 #,##0.00 6500 480 2300 240 2 -1 Times New Roman 10 Field12

0

-1 8800 480 2300 240 2 -1 Times New Roman 10 Field13

0

1. 480 400 240 1 Times New Roman 10 Field14

0

Turnover 400 480 6100 240 0 Times New Roman 10 Field15

0

SALES_V1_GROSS+SALES_V4_GROSS+SALES_V125_GROSS -1 #,##0.00 6500 720 2300 240 2 -1 Times New Roman 10 Field16

0

-1 8800 720 2300 240 2 -1 Times New Roman 10 Field17

0

2. 720 400 240 1 Times New Roman 10 Field18

0

Taxable turnover 400 720 6100 240 0 Times New Roman 10 Field19

0

SALES_V1_TAX+SALES_V4_TAX+SALES_V125_TAX -1 #,##0.00 6500 960 2300 240 2 -1 Times New Roman 10 Field20

0

-1 8800 960 2300 240 2 -1 Times New Roman 10 Field21

0

3. 960 400 240 1 Times New Roman 10 Field22

0

Tax payable 400 960 6100 240 0 Times New Roman 10 Field23

0

6500 1200 2300 240 2 Times New Roman 10 Field24

0

-1 8800 1200 2300 240 2 -1 Times New Roman 10 Field25

0

4. 1200 400 240 1 Times New Roman 10 Field26

0

Tax payable under section 13(5) 400 1200 6100 240 0 Times New Roman 10 Field27

0

6500 1440 2300 240 2 Times New Roman 10 Field28

0

-1 8800 1440 2300 240 2 -1 Times New Roman 10 Field29

0

5. 1440 400 240 1 Times New Roman 10 Field30

0

Taxable purchase price 400 1440 6100 240 0 Times New Roman 10 Field31

0

6500 1680 2300 240 2 Times New Roman 10 Field32

0

-1 8800 1680 2300 240 2 -1 Times New Roman 10 Field33

0

6. 1680 400 240 1 Times New Roman 10 Field34

0

Purchase tax payable 400 1680 6100 240 0 Times New Roman 10 Field35

0

6500 1920 2300 240 2 Times New Roman 10 Field36

0

-1 8800 1920 2300 240 2 -1 Times New Roman 10 Field37

0

7. 1920 400 240 1 Times New Roman 10 Field38

0

Total tax payable 400 1920 6100 240 0 Times New Roman 10 Field39

0

6500 2160 2300 240 2 Times New Roman 10 Field40

0

-1 8800 2160 2300 240 2 -1 Times New Roman 10 Field41

0

8. 2160 400 240 1 Times New Roman 10 Field42

0

Interest payable if any 400 2160 6100 240 0 Times New Roman 10 Field43

0

6500 2400 2300 240 2 Times New Roman 10 Field44

0

-1 8800 2400 2300 240 2 -1 Times New Roman 10 Field45

0

9. 2400 400 240 1 Times New Roman 10 Field46

0

Input tax rebate 400 2400 6100 240 0 Times New Roman 10 Field47

0

6500 2640 2300 240 2 Times New Roman 10 Field48

0

-1 8800 2640 2300 240 2 -1 Times New Roman 10 Field49

0

2640 400 240 1 Times New Roman 10 Field50

0

(i) claimed 400 2640 6100 240 0 Times New Roman 10 Field51

0

6500 2880 2300 240 2 Times New Roman 10 Field52

0

-1 8800 2880 2300 240 2 -1 Times New Roman 10 Field53

0

2880 400 240 1 Times New Roman 10 Field54

0

(ii) adjusted 400 2880 6100 240 0 Times New Roman 10 Field55

0

6500 3120 2300 240 2 Times New Roman 10 Field56

0

-1 8800 3120 2300 240 2 -1 Times New Roman 10 Field57

0

3120 400 240 1 Times New Roman 10 Field58

0

(iii) claimed as refund 400 3120 6100 240 0 Times New Roman 10 Field59

0

6500 3360 2300 240 2 Times New Roman 10 Field61

0

-1 8800 3360 2300 240 2 -1 Times New Roman 10 Field62

0

10. 3360 400 240 1 Times New Roman 10 Field63

0

Tax deducted at source u/s 27 400 3360 6100 240 0 Times New Roman 10 Field64

0

6500 3600 2300 240 2 Times New Roman 10 Field65

0

-1 8800 3600 2300 240 2 -1 Times New Roman 10 Field66

0

11. 3600 400 240 1 Times New Roman 10 Field67

0

Balance payable if any 400 3600 6100 240 0 Times New Roman 10 Field70

0

12. 3840 400 240 1 Times New Roman 10 Field71

0

Payment details: Challan No........................ date......................Amount................................. 400 3840 10700 240 0 Times New Roman 10 Field72

0

6500 4080 2300 240 2 Times New Roman 10 Field73

0

-1 8800 4080 2300 240 2 -1 Times New Roman 10 Field74

0

13. 4080 400 240 1 Times New Roman 10 Field87

0

Refund if any 400 4080 6100 240 0 Times New Roman 10 Field68

0

"Date" -1 5220 600 240 0 -1 Times New Roman 10 Field69

0

________________________________ -1 600 5220 3500 240 0 -1 Times New Roman 10 Field88

0

Place -1 4980 600 240 0 -1 Times New Roman 10 Field89

0

________________________________ -1 600 4980 3500 240 0 -1 Times New Roman 10 Field92

0

Signature -1 6000 5220 5100 240 1 -1 Times New Roman 10 Field93

0

______________________________________________ -1 6000 4980 5100 240 0 -1 Times New Roman 10 Field90

2

" Received quarterly return in form 17 from M/s "+Ltrim(Rtrim(CompanyName))+ "of ...................................................R.C.No alongwith a challans details below:" -1 240 11100 480 0 -1 Times New Roman 10 Field91

2

Date 2500 720 2500 240 0 Times New Roman 10 Field94

2

Amount 5000 720 2500 240 0 Times New Roman 10 Field95

2

(1) 960 2500 240 0 Times New Roman 10 Field96

2

2500 960 2500 240 0 Times New Roman 10 Field97

2

5000 960 2500 240 0 Times New Roman 10 Field98

2

(2) 1200 2500 240 0 Times New Roman 10 Field99

2

2500 1200 2500 240 0 Times New Roman 10 Field100

2

5000 1200 2500 240 0 Times New Roman 10 Field101

2

(3) 1440 2500 240 0 Times New Roman 10 Field102

2

2500 1440 2500 240 0 Times New Roman 10 Field103

2

5000 1440 2500 240 0 Times New Roman 10 Field104

2

(4) 1680 2500 240 0 Times New Roman 10 Field105

2

2500 1680 2500 240 0 Times New Roman 10 Field106

2

5000 1680 2500 240 0 Times New Roman 10 Field107

2

Signature and full name of the official receiving the return and office seal -1 6000 2880 5100 480 1 -1 Times New Roman 10 Field108

2

Item No 4320 600 240 0 16777215 1 1 Times New Roman 9.75 Field109

2

Instruction 600 4320 10500 240 0 16777215 1 1 Times New Roman 9.75 Field110

2

1. 4560 600 240 1 16777215 1 1 Times New Roman 9.75 Field111

2

Turnover shall be arrived at after deducting from the gross turnover ,sale price of the goods returned within six months of sale. 600 4560 10500 240 0 16777215 1 1 Times New Roman 9.75 Field112

2

2. 4800 600 2160 1 16777215 1 1 Times New Roman 9.75 Field113

2

The taxable turnover shall be arrived at after deducting from the turnover,- (i) The turnover of goods declared tax free under section 15 of the Act; (ii) The turnover of goods sold,- (a) outside the state; (b) in the course of inter-State trade or commerce; (c) in the course of export out of the territory of India; (iii) Turnover of goods which are in the nature of tax paid goods. (iv) Amount arrived at under section 2(w)(2)(ii) and/or 2(w)(3)(iii). (v) Turnover of goods in relation to which deduction is provided under the Act. 600 4800 10500 2160 0 16777215 1 1 Times New Roman 9.75 Field114

2

3. 6960 600 480 1 16777215 1 1 Times New Roman 9.75 Field115

2

Tax payable under section 8(i) and /or 8(ii) and/or section 9 of the Act shall be computed on the taxable turnover and/or aggreagate of taxable purchase prices at the rates specified in column(3) and/or column(4) of schedule II. 600 6960 10500 480 0 16777215 1 1 Times New Roman 9.75 Field116

2

4. 7440 600 720 1 16777215 1 1 Times New Roman 9.75 Field117

2

Aggregate of purchase prices would include purchase prices of goods purchased within the State from unregistered dealers and,- (i) sold outside the State; (ii) used or consumed for/in the manufacture for/in the mining of goods specified in schedule II for sale. 600 7440 10500 720 0 16777215 1 1 Times New Roman 9.75 Field118

2

5. 8160 600 1680 1 16777215 1 1 Times New Roman 9.75 Field119

2

Input tax rebate to be claimed would be input tax rebate availabel under,- (i) Section13(1)(a); (ii) Section 13(1)(b); (iii) Section 13(1)(c);and (iv) Section 73 and should be claimed in respect of input tax rebate to the credit at the begining of the quarter and that accrued duting the quarter. 600 8160 10500 1680 0 16777215 1 1 Times New Roman 9.75