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The Central Sales Tax (Orissa) Forms
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Body

"Form IIIAA

AUDIT VISIT REPORT

[Refer sub-rule (3) of rule 10 of CST (O) Rules)]

1 Office address:
D D   M M   Y Y Y Y
                   

 

2 Name & address of the dealer:

.

.

 

3 TIN
                     
 
4 Period of Audit From ____/____/_______ To ____/____/_______
5 Nature of Business  
6 Person(s)contacted in course of visit  
7 Statement, if any, recorded in course of visit and if so, the name and status of such persons with reference to the business, from whom statement has been recorded  
8 Summary of records and accounts verified and signed indicating the date up to which, the same has been maintained  
9 Value of goods sold /supplied

a) on branch transfer

b) on Consignment Sale

c) Sale in course of Inter state Trade against concessional rate

d) Sale in course of Inter state Trade without any declaration form

e) transit sale made claiming exemption under Section 6(2) of the CST Act

f) Sale in course of export u/s. 5(1) of CST Act

g) Sale in course of import u/s. 5(2) of theCST Act

h) Sale in course of export u/s. 5(3) of the CST Act

i) Sale made to units SEZ u/s. 8(6) of CST Act

j) Sale to foreign diplomatic mission u/s. 6(3) of CST Act

As Declared by the dealer

Declaration Certificates Produced and verified by the Audit Team

(in Rs.)

Discrepancy notice

(in Rs.)

(i)    
(ii)    
(iii)    
(iv)    
     
     
     
     
     
     

10 .

.

.

a) Gross Turn over

b) Net Taxable Turn over

 
As Declared by the dealer As determined by Audit Team
   
   
11 Tax Declared. if any

Tax Paid, If any

 
 
 
12 Differential Tax determined by the Audit team to be paid by the dealer
 
 
13 (i) Analysis of purchase & use of 'goods'

(ii) Contravention, if any of Declaration Form 'C' (amount involved)

 
14 Any other discrepancy found  
15 Description of the Report  

  Signature of the Head of the Audit Team
  Name of the Head of the Audit Officer
    designation