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

[See rule 49(3)]

Form of return to be furnished by a Halwai, Dhaba-wala, Loh-wala or Chat-wala

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

1. Dealer's identity

Name and style of business

M/s

Address

Contact No.

TIN

Economic Activity Code

2. Number of Bhattis used or workers engaged during each month of the return period and computation of tax payable

Month

Apr.

May.

Jun.

Jul.

Aug.

Sept.

Oct.

Nov.

Dec.

Jan.

Feb.

Mar.

No. of Bhatti

Tax payable

Quarter Total

Names of workers engaged

3. 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
		Type of inst- rument	No.	Date	Amount	DCR No.	Date



	Excess paid brought forward from last return
	Total

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

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

Declaration

I, _____________(name in CAPITALS), hereby, solemnly affirm that I am authorised to furnish this return and all its contents lists, statements, declarations, certificate annexed to it or filled with it are true, correct and complete and nothing has been concealed therein

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 VAT-G8 register/ 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-G for the year ______.

Assessing Authority/

Excise and Taxation Inspector,

(when posted in circle outside District Headquarters)

Circle_________District_______.

(SEAL)

Date_____________