THE KERALA VALUE ADDED TAX RULES, 2005 - Forms
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THE KERALA VALUE ADDED TAX RULES,2005

FORM No. 10 DA

RETURN

[FOR COMPOUNDED DEALERS]

[See Rules 22(1)]

The Commercial Tax Authority,

VAT OFFICE ADDRESS

HELP LINE contact persons/Ph. Nos.

I. DEALER DETAILS

Name of the Dealer:..................................	Date
Address of the dealer (Principal place of Business)	TIN
Details of Branch	CST R.C. No.
Ph............. Fax ............ E-mail.........Website....................
Return furnished for Principal Place of business OR Branch/es at ............. (Strike out whatever is not applicable) [Specify number of Branches]

Nature of Return	: Original / Fresh / Revised
Period of return	:For the month………………………
Year	:

(A) Cooked Food u/s. 8(c)(ii)

Category	Actual sales turnover for the month in Rs.	Compounded tax fixed for the year in Rs.	Compounded tax due for the month in Rs.
Cooked food and Beverages and other items in Sec.8(c)(ii)

(B) Gold Compounding u/s.8(f)

Category	Actual sales turnover for the month in Rs.	Compounded tax fixed for the year in Rs.	Compounded tax due for the month in Rs.	Compounded tax Collected
Gold compounding
Total

D. Bills issued (for A and / or B above)

Particulars	Serial No.
Particulars	From	To
Sale bills / invoices / cash memos

Abstract

Total Tax Due
Interest (if any)
Settlement fees if any
Total amount due
Total amount paid
Balance Due / Excess Paid

TAX PAYMENT DETAILS

Sl. No.	No. and Date of Cheque / Demand Draft / Challan	Amount in Rs.	Name and Place of Drawee Bank / Treasury


	Total

SELF ASSESSMENT DECLARATION

1. I/ We declare that I / We have verified the above particulars with reference to the records and books of my / Our business and that the same are truly, correctly and completely stated.

Place:		Signature
Date:	SEAL	Name
		Status

FOR OFFICE USE

9. Date of filling of return :

10. Date of scrutiny :

11. Whether return accepted/found defective :

12. If the return is defective, nature of defects
(a)	(b)
(c)	(d)

13. Date of issue of notice:

14. Date of compliance:

15. State whether revised return filed and if so details.

16. Details of payments (of additional demand):

Date :

Signature of Assessing Authority

INSTRUCTIONS :

FOR DEALERS IN COOKED FOOD

1. Statement showing particulars of goods purchased locally from registered dealers for use in manufacture of own cooked food and beverages with name, address and TIN of the supplier, commodity, quantity, value etc. shall be enclosed along with return filed.

2. Statement of local purchases from persons other than registered dealers showing address, commodity, quantity, value etc. shall be enclosed along with return filed.

3. FIRST and LAST serial numbers of sale Bills issued for the quarter shall be noted in the return filed.

FOR DEALERS IN GOLD

1. FIRST and LAST serial numbers of sale Bills issued for the quarter shall be noted in the return filed.

ACKNOWLEDGEMENT

Received Return in Form No. 10 DA filed by M/S ......................... for the period.........

Date:

SEAL

Signature of receiving officer