The Central Sales Tax (Orissa) Forms
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FORM III-A

Return for Unregistered Dealers

[See sub-rule (1) of rule 9 of the Central Sales Tax (Orissa) Rules, 1957]

01.

Period covered by the return

FROM

Date

Month

Year

Date

Month

Year

02.

Name and Address of the dealer

03.

If you have made no sale under the provisions of CST Act, 1956 during this period mark 'X' in the box

04.

Part - A

Particulars of Purchase

Sl. No		Purchase value excluding Tax	Tax paid under CST/OVAT Act
1.	Total Purchase from out side the State
2.	Purchase in course of import

05.

Inter-State Purchase

1.	Purchase @ 1 % tax rate
2.	Purchase @ 4 % tax rate
3.	Purchase @ 12.5 % tax rate
4.	Purchase @ 20 % tax rate
5.	Purchase of Tax exempted goods
6.	Any other purchase not specified above
	Total

06.

Part - B

Particulars of Sales

Sl. No	Sale of goods under the CST Act	Sale value excluding Tax 'A'	Tax due on sale value at 'A' 'B'
1.	Sale of goods @ 1% rate of tax
2.	Sale of goods @ 2% rate of tax
3.	Sale of goods @ 4% rate of tax
4.	Sale of goods @ 8% rate of tax
5.	Sale of goods @ 10% rate of tax
6.	Sale of goods @ 12.5% rate of tax
7.	Sale of goods @ 20% rate of tax
8.	Sale of exempted goods
	Total

07.

Total Tax due (Total of Col. B of Sl. No.6)

08.

Tax paid, if any.

09.

Balance Tax payable (07-08)

10.

Value of the goods transferred by way of stock transfer / Commission sale

11.

Manner of payment of tax payable

Treasury Challan No./D.D. No./ Banker' cheque No. & Date	Name of the Treasury / Bank	Amount

Declaration

I, _______________________________________ ( Name in Capital), hereby declare that the particulars furnished above are true and correct.

	Full signature of the authorized signatory
Place _______________	Name _____________________________
Date _______________	Status _____________________________