THE KERALA VALUE ADDED TAX RULES, 2005 - Forms
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*TIN............................... (Tax payer's identification number
CST Reg. No ....................
			Drug Licence No................

DEALER'S NAME AND ADDRESS

THE KERALA VALUE ADDED TAX RULES,2005

FORM NO. 8H

(for dealers in medicine selling compounded-tax-suffered medicines)

[See rule 58 (10)]

* TAX INVOICE

CASH / CREDIT

(to be issued by manufacturer / first seller when tax is collected)

Invoice No. & Date	Delivery Note No. & Date	Purchase order No. & Date	Despatch Document No. & Date, if any	Terms of Delivery, if any

Name & Address of Purchasing Dealer :

....................................................................................................................

.....................................................................................................................

Telephone No. ............................. Mobile ................................ Fax .......................... E-mail .......................................

Case No.	Mfg code	Product description	Batch No.	Expiry date	Qty sold	Qty billed free	MRP value	Unit price for stockist / wholesaler	Sale Value	Excise duty	Comp Tax on MRP collected	Value of goods billed free	Total amount charged
1	2	3	4	5	6	7	8	9	10	11	12	13	14

DECLARATION

(To be frunished by the seller)

Certified that all the particulars shown in the above Tax Invoice are true and correct in all respects and the tax charged and collected are in accordance with the provisions of the KVAT ACT 2003 and the rules made there under. It is also certified that my/our Registration under KVAT Act 2003 is not subject to any suspension/cancellation and it is valid as on the date of this Bill.

	Authorised Signatory
	[With Status & Seal]

TIN / Reg No. ...................................	CST Reg : No...................................
	Drug Licence No..............................

* SALE BILL

CASH / CREDIT

(to be issued by stockist / wholesaler of medicines or drugs to retailer when tax is not collected)

Invoice No. & Date	Delivery Note No. & Date	Purchase order No. & Date	Despatch Document No. & Date, if any	Terms of Delivery, if any

Name & Address of Purchasing Dealer :

....................................................................................................................

.....................................................................................................................

Telephone No. ............................. Mobile ................................ Fax .......................... E-mail .......................................

Batch No.

Mfg. Code

Expiry Date

Product description

Pack

Qty sold

Qty billed free

Unit price including Comp. Tax on MRP

Sale value

Cash discount

Net amount payable

DECLARATION

(To be frunished by the seller)

Certified that the particulars furnished herein are true and correct in all respects and that the Medicines sold as per this Bill have duly suffered compounded tax at the preceding point of sale, at the hands of my supplier/s or at any previous points.

SEAL

Authorised Signatory.

TIN / Reg. No. ...................................	CST Reg : No...................................
	Drug Licence No..............................

* RETAIL BILL

( To be issued to customers who are not dealers)

Prescribed by Dr...................................................

Batch No

Mtg Code

Product description

Expiry Date

MRP

Qty

Comp Tax paid on MRP

Amount payable

DECLARATION

(To be frunished by the seller)

Certified that the medicines sold as per this Bill have been purchased locally from registered dealers who have certified in the related sale bills that such medicines had duly suffered Compounded Tax.

SEAL

Authorised Signatory.

* Every dealer may use only the portion, which is applicable to him.