The Orissa Entry Tax - Forms
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Body

FORM E 3B

ANNUAL RETURN

[See sub-rule (2A) of rule 10]

PART- A

TIN/SRIN/Identification No.

Period covered by the return

From	Date	Month	Year
From

To	Date	Month	Year
To

Name and style of the business

Address

Phone No

PAN No.

Mobile No.

PART -B

Total value of goods purchased/received (scheduled + non-scheduled goods)

Rs.

Value of scheduled goods purchased/received within the local area

Rs.

Purchase value of scheduled goods brought into the local area

Rs.

Purchase value of scheduled goods brought into the local area in respect of which entry tax has been levied at earlier stage (Details to be furnished in Form E 1)

Rs.

Purchase value of scheduled goods brought into the local area but sent as such outside Orissa otherwise than by way of sale.

Rs.

Purchase value of scheduled goods brought by a manufacturer for use of the same as raw materials purchased against declaration in Form E-16 where finished products made out of such raw materials are to be exported out of the territory of India.

Rs.

Total of Col. 08, 09 &10

Rs.

Balance purchase value of goods (SL No. 07-11) on which Entry Tax is payable.

Rs.

Break up of purchase value (Col-12) on which Entry Tax is payable (to be filled up by dealer other than manufacturer)

(1)	(2)	(3)
(1)	Purchase value	Amount of Entry Tax
Part I scheduled goods subject to concessional rate of tax @ 0.5% for which declaration in Form E15 is furnished.
Part II scheduled goods subject to concessional rate of tax @ 1% for which declaration in Form E15 is furnished.
Part I scheduled goods subject to tax @ 1%.
Part II scheduled goods subject to tax @ 2%.
Total

Details of purchase value of raw materials on which Entry Tax is payable. (to be filled up by manufacturer)

(1)	(2)	(3)
(1)	Purchase value	Amount of Entry Tax
Part I scheduled goods purchased for use as raw materials subject to concessional rate of tax @ 0.5%
Part II scheduled goods purchased for use as raw materials subject to concessional rate of tax @ 1%
Total

(attach additional sheets, if required)

Details of purchase value of scheduled goods other than raw materials on which Entry Tax is payable.(to be filled up by manufacturer)

(1)	(2)	(3)
(1)	Purchase value	Amount of Entry Tax
Part I scheduled goods subject to tax @ 1%
(i)
Part II scheduled goods subject to tax @ 2%
(ii)
(iii)

Total Entry Tax [Total of Col. 13(3)+14(3)+15(3)] payable on purchase

Rs.

PART -C

(to be filled in addition to Part B if the dealer is a manufacturer of scheduled goods)

Total sale value of finished products which are scheduled goods.

Rs.

Sale value of finished products which are scheduled goods sold within the same local area.

Rs.

Sale value of finished products which are scheduled goods sold in course of inter-state trade and commerce.

Rs.

Sale value of finished products which are scheduled goods sold in course of export out of the territory of India..

Rs.

Sale value of finished products which are scheduled goods sent outside Orissa otherwise than by way of sale.

Rs.

Sale value of finished products which are scheduled goods sold against declaration in Form E 16

Rs.

Total of Col.18,19, 20,21 & 22

Rs.

Balance sale value of goods (Col No. 17-23) on which Entry Tax is payable.

Rs.

Break up of sale value (Col.24) on which Entry Tax is payable by a manufacturer

Sl. No.	Sale value of Goods	Rate of tax	Amount of tax.
(a)	(b)	(c)	(d)
1
2
3
	Total

(Note: In case of sales made against E-15 & E-16 Declarations, details to be given in Form E 3A)

(attach additional sheets, if required)

Amount of Entry Tax [total of column 25(e)] payable

Rs.

Amount of set off , if any, claimed on raw materials

Rs.

Tax payable after set off (Col. 26-Col. 27)

Rs.

PART -D

(a) Total amount of Entry tax payable on purchases and on sales after set off (Col.16+Col. 28)

Rs.

(b) Entry Tax payable on account of contravention of declaration on E-15, E-16. (Furnish details in a separate sheet)

Rs.

Total amount of Entry Tax paid

Rs.

Balance payable (29(c)-30) if, 29(c) > 30

Rs.

Refund due (30-29(c)) if, 30 > 29(c)

Rs.

DECLARATION

I ………………………………… do solemnly declare that to the best of my knowledge and belief the information furnished in the above return is true and complete and that it relates to the period from …………………………………

Date:
Place:
	Signature
	Name of the Signatory
	Proprietor/ Partner/Manager/Director

ANNEXURE-A

Details of Tax deposited -

For the month	Self deposit (BD / TC / EC)			Money receipt (Tax paid at check gate / collected by authorities)			Total (Rs.)
For the month	No.	Date	Amount (Rs.)	MR No.	Date	Amount (Rs.)	Total (Rs.)
(1)	(2)	(3)	(4)	(5)	(6)	(7)	(8)
April
May
June
July
August
Sep.
Oct.
Nov.
Dec.
Jan.
Feb.
March
Total

BD – Bank Draft

TC – Treasury Challan

EC – E-Challan

MR – Money Receipt

Date:……………………
	Signature & Seal

FOR OFFICIAL USE ONLY

Period covered under the return	___________________________________
Date of receipt of the return	___________________________________
Amount of Tax paid	___________________________________
Mode of payment	___________________________________

	Signature with designation of the receiving officer.
	Seal.