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The Jammu and Kashmir Value Added Tax Form, 2005.
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Body

Form VAT - 11H

Statements of Local Purchase Details

( See Rule 28 (2-A) (b) )

    Period From
   
0 1  0  4         

 

    to
   
3 1  0  3         

 

Circle Please fill in Capital letters where applicable and sign the declaration. Date _/_/20_

Part A - Dealer Information

1 Dealer Name 2. Taxpayer Identification Number
                     
 

Part B - Filing Status

1. Whether Original or Revised or Final Return If revised, original return acknowledgement number and date:
ORIGINAL - REVISED - FINAL 2.a Date(Day/Month/Year) 2.b Acknowledgement Number
2. Reason for Filing revised Return:

Part H1: Invoice–wise list of purchase from registered dealer other than manufacturer claiming remission for the Quarter

Serial No. Date of Invoice Invoice Number TIN of the Dealer Name of Seller Rate of Tax Amount before tax (A) VAT Charged (B) Total Amount (C = A+B)
                 
                 
                 
                 
 

         
 

         
                 
                 
  Total      

H2: Invoice – wise list of purchase from manufacturer claiming remission for the Quarter

Serial No. Date of Invoice Invoice Number TIN of the Dealer Name of Seller Rate of Tax Amount before tax (A) VAT Charged (B) Total Amount (C = A+B)
                 
                 
                 
                 
 

         
 

         
                 
                 
  Total      

H3: Invoice-wise Purchase Return Schedule for the Quarter

Serial No. Date of Invoice Invoice Number TIN of the Dealer Name of Seller Rate of Tax Amount before tax (A) VAT Charged (B) Total Amount (C = A+B)
                 
                 
                 
                 
 

         
 

         
                 
                 
  Total      

H4: Purchase of Capital Assets

Serial No. Date of Invoice Invoice Number TIN of the Dealer Name of Seller Rate of Tax Amount before tax (A) VAT Charged (B) Total Amount (C = A+B)
                 
                 
                 
                 
 

         
 

         
                 
                 
  Total Value of Assets Purchased during the quarter      

Name of Person Place Seal and Signature
Designation Date