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

Form VAT - 12B

Return of Composite Dealers

For Dhaba and Brick Kilns Dealers

( See Rule 28 (2) )

Period From

Circle

Please fill in Capital letters where applicable and sign the declaration.

Date _/_/20_

Section A - Dealer Information

1 Name of Dealer

2. TIN of Dealer

Section B - Filing Status

Whether Return is

Original or Revised

If revised, original return acknowledgement number and date:

Date of Original Return

__/__/20__

Acknowledgement Number of Original Return

Section C : Turnover and Tax Details

Sr. No.	Particulars			Current Period	Last Period
1	Gross Turnover
2	Taxable Turnover
3	Total Purchase made during the year
5	Coal Consumption, if you are dealer of brick kilns
6	Total Tax for the current year along with quarter wise distribution
	Total Tax	Quarter 1	Quarter 2	Quarter 3	Quarter 4

	Date of Payment
	Treasury Receipt No

Section D : Declaration

I declare that the information given on this application is true and correct and that failure to provide correct information may result in delayed processing or rejection of this application (If this form is signed by a person other than the applicant, formal powers of attorney will be required.)

Name	Signature
Date	Place