THE HIMACHAL PRADESH VALUE ADDED TAX RULES, 2005. FORMS
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Form VAT-XV-F

[See rule 48 (6)]

Form of return to be furnished by the Works Contractor under section 16(2)

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

1. Dealer's identity

Name and style of business

M/s

Address

Contact No.

TIN

Economic Activity Code

2. Details of execution of works contract and computation of lumpsum payable

Sr. No.	Number, date and name, if any, and nature of works contract under execution during the tax period	Name and compete address of the contractee(s)	Total value of works contract	Amount receivable		Lumpsum payable @____ of (e)
Sr. No.		Name and compete address of the contractee(s)	Total value of works contract	During the tax return period	Progressive	Lumpsum payable @____ of (e)
(a)	(b)	(c)	(d)	(e)	(f)	(g)


			Total

4. Tax payable [2 (g)-3(e)]

Rs.

5. Details of tax deposited

Sr. No.	Name of treasury where tax deposited or Bank on which DD/ Pay order drawn	Treasury receipt (TR)/ DD/ PO				For office use
Sr. No.		Type of instrument	No.	Date	Amount	DCR No.	Date


	Excess paid brought forward from last return-
	Total

		Total Tax payable =
		Paid =

Note: Date-wise details of each type of draw are attached separately as per Annexure(s)

Date:

[Signature of Authorised Person]

6. Value of goods purchased in the State from registered dealers

LP-1 appended

7. Value of goods purchased in the course of nter-State

trade or commerce.

LP-1 appended

8. Value of goods imported into the State

List LP-5 appended

9. Account of forms printed under the Government authority / required to be authenticated by the Assessing Authority

Sr. No.	Type of Form	Opening stock at the beginning of the return period	Blank forms received or authenticated during	Number of form used during the return period	Aggregate of amount of transactions for which forms used
(1)	VAT-
(2)	C
(3)	F

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

Sr. No.	Type of form	No. of forms furnished	Aggregate of amount of transactions for which forms furnished
(1)	VAT-
(2)	C
(3)	D

Declaration

I, ________________(name in CAPITALS), hereby, solemnly affirm that I am authorised to furnish this return and that all its contents including table lists, statements, declarations, certificates and other documents appended to it or filed with it are true, correct and complete and nothing has been concealed therefrom.

Place :
Date :	[Signature]

Status : (Tick) 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 computer

(2) Signature of the official making the data entry:

(Affix stamp of name and designation)

(3) Signature of the assessing authority with date:

(Affix stamp of name and designation)

_______________________________________________________________________________________________

ACKNOWLEDGEMENT

Received from M/s____________________________ TIN _____________________a return in Form VAT-XV-F of tax payable under section 20 for the month of______________alongwith a list in Forms LP-1.

Assessing Authority/

Excise and Taxation Inspector,

(when posted in circle outside District Headquarters)

Circle_________District_______.

(SEAL)

Date_____________