UPVAT - XXIV

Department of Commercial Taxes, Government of Uttar Pradesh

[See Rule-45(2) of the UPVAT Rules, 2008] Return of Tax Period - Monthly / Quarterly 1. 2. 3. 4. 5. Assessment Year Tax Period Ending on Designation of Assessing Authority Name of Circle / Sector Name / address of the dealer
2012-2013 30-06-2012 A C SECTOR - 10,GHAZIABAD 10 FIBRETECH INDUSTRIES E-176, INDUSTRIAL AREA, KAVI NAGAR, GHAZIABAD, UTTAR PRADESH 09390501047 ADRPM3441P

6. 6A. 7. a-

Taxpayer's Identification Number [TIN] Taxpayer's PAN Details of Purchase [in Rs.] Vat Goods i. Purchase in own a/c against tax invoice (annexure-A Part -I) ii. iii. iv. v.

3,48,574 Nil Nil 1,92,981

Purchase in own a/c from person other than registered dealer Purchase of exempted goods Purchase from Ex.U.P. Purchase in Principal's A/c (a) U.P. Principal (a -i) Purchase against Tax Invoice (Annexure -A Part -II (a -ii) Other Purchases (b) Ex. U.P. Principal Any other purchase Total Less - purchase return (Annexure A-1) Net amount of purchase

Nil Nil Nil Nil 5,41,555 Nil 541555 Nil Nil Nil Nil Nil Nil Nil

vi. vii. viii. b-

Non Vat Goods i. Purchase from registered dealers ii. iii. iv. v. Purchase from person oher than registered dealer Purchase of exempted goods Purchase from Ex.U.P. Purchase in Principal's A/c (a) U.P. Principal (b) Ex. U.P. Principal Any other purchase Total vii. viii. Less - purchase return (Annexure A-1) Net amount of purchase Grand Total

vi.

Nil Nil 0 5,41,555

c- Capital goods purchased from within the state i ii Purchase against tax invoice (Annexue A - 2 ) Purchase from person other than registered dealer
Total :0 0 0

Purchase through commission agent for which certificate in form VI has been received Sl.No. Certificate No. Date
Total :-

Value of goods purchased

Amount of Tax paid

7A. Purchases / Value of goods received from outside state against Forms of declaration / certificates (a) (b) Purchase against Form C / Form H / Form I (Details to be furnished in annexure C, E & F respectively) Value of goods received from outside State against Form F (Details to be furnished in annexure D) Total :Commodity
--05000004 0 0 0

8.

Computation of tax on purchase Sl.No Rate of tax Vat Goods i. ii. iii. iv v vi. vii. viii. 1% 4% 12.5 % Additional Tax 0.5 % 1% 2% 3% 5%

Turnover of Purchase
Nil Nil Nil 0 0 0 0 0 Nil Nil Nil Nil Nil

Tax
Nil Nil Nil 0 0 0 0 0 Nil Nil Nil Nil Nil Nil Nil

Total Non Vat Goods ix. x. xi. xii. xiii. 20 % 21 % 26 % 32.5 % --Total Grand Total 9. aDetails of Sale Vat Goods i. Turnover of sale in own a/c against tax invoice (annexure-B Part - I) ii. iii. iv. Turnover of sale in own a/c other than in column- i. Turnover of sale of exempted goods Sales in Principal's a/c (a) U.P. Principal (a -i) Sales against Tax Invoice (Annexure -B Part -II (a -ii) Other Sales (b) Ex. U.P. Principal Interstate sale against form 'C' Interstate sale without form 'C' Sale in course of export out of India Sale in course of import Sale outside state Consignment sale / Stock Transfer Any other sale Total xii. xiii. Less : sales return (Annexure B - 1) Net Amount of Sales
-----

Nil Nil

1,69,400 Nil Nil

Nil Nil Nil 2,32,708 Nil Nil Nil Nil Nil Nil 4,02,108 Nil 402108

v. vi. vii. viii. ix. x. xi.

b-

Non Vat Goods i. ii. iii. iv. Taxable turnover of sale Exempted turnover of sale Tax paid turnover of goods Sale in Principal's A/c (a) U.P. Principal (b) Ex. U.P. Principal Any other sale Total vi. vii. Less - saels return (Annexure B-1) Net amount of sales Grand Total
Nil Nil Nil Nil Nil 0 4,02,108 Nil Nil Nil

v.

Sales through commission agent for which certificate in form V has been received Sl.No. Certificate No. Date
Total :-

Value of goods sold

Amount of Tax Charged

10.

Computation of tax on sale Sl.No i. ii. iii. i. ii. iii. iv. v. Rate of tax Vat Goods 1% 4% 12.5 % Additional Tax 0.5 % 1% 2% 3% 5% Total Non Vat Goods i. ii. iii. iv. v. 20 % 21 % 26 % 32.5 % --Total [VAT and Non Vat] Grand Total
Nil 1,69,400 Nil 8,470 Nil 0 0 8,470 Nil 0 ----Nil Nil Nil Nil Nil Nil Nil Nil -2C183001 -Nil 1,69,400 Nil 0 1,69,400 0 0 0 1,69,400 Nil 6,776 Nil 0 1,694 0 0 0 8,470

Commodity

Turnover of Sale

Tax

11. 12. 13.

Installment of compounding scheme, if any Amount of T.D.S. Tax Payable [in rupees] i. ii. iii. iv. Tax on purchase Tax on sale. Installment of compounding scheme, if any T.D.S. amount Total

8,470

14.

Detail of ITC i. ii. ITC brought forward from previous tax period ITC earned during the tax period (a) On purchase made in own account (b) On purchases made through purchasing commission agent against certificate form VI Total :6,641.31 18118.73 0 18118.73

15.

(c) Installment of ITC on opening stock due in the tax period (d) Installment of ITC on capital goods due in the tax period Total :(e) ITC reversed during the tax period (f) Admissible ITC in the tax period (a+b+c+d-e) iii. (a) Adjustment of ITC against tax payable (b) Adjustment of ITC against CST iv. ITC carried forward to the next tax period, if any Total :Net tax i. Total tax payable (serial no. 13) ii. ITC adjustment iii. Net tax Detail of tax deposited A- Name of the bank / branch B- By adjustment against adjustment vouchers Adjustment Vouchres Number T.C. number Date Date
Total :-

Nil Nil Nil Nil 18,118.73 8,470 4,654.16 11,635.88

8,470 8,470 0

16.

Amount of tax Amount of Tax

C- Total tax deposited (A+B)

Total in figures Total in figures

0.00

Annexure-1 -Annexure A/ A-1/ A-2/B/B-1 whichever is applicable Treasury Challan number / date . I
DECLARATION ATUL MITTAL S/o, D/o, W/o PARMANAD MITTAL Status PROP. [i.e. proprietor, director, partner etc. as provided in

rule-32(6)], do hereby declare and verify that, to the best of my knowledge and belief all the statements and figures given in this return are true and complete and nothing has been willfully omitted or wrongly stated. Date : Place : 20-07-2012 Ghaziabad

Signature : Status : PROP.

UPVAT - XXIV Annexure - A

[See Rule-45(3) of the UPVAT Rules, 2008] List of purchases made against Tax Invoice i. Name and address of Purchasing dealer
FIBRETECH INDUSTRIES E-176, INDUSTRIAL AREA, KAVI NAGAR, GHAZIABAD, UTTAR PRADESH 09390501047 Tax period ending on 2012-2013 30-06-2012

ii. TIN iii. Assessment year

Purchase in own account

iv. Name and address of selling dealer TIN Tax invoice No Date of Tax invoice
05-04-20 12

Part - I
Taxable value of goods
12,125

Description of commodity Name

COBAL T

Code
2C1520 01

Quantity / Measure

Amount Total of tax amount of charged tax-invoice

606.25 12,731.25

1 POONAM
SPECIALITY PRODUCTS C-223/3 SITE 1 BSR INDL AREA, GHAZIABAD, 0 - UTTAR PRADESH SHIVA ENTERPRISES 176, MALIWARA GHAZIABAD, UTTARPRADE SH - 201001 GAURAV ENTERPRISES KHASRA NO.33 GALI NO1, HINDON VIHAR GHAZIABAD, 0 - UTTAR PRADESH SAHNI POLYCHEM 45 HINDAN VIHAR GHAZIABAD, 0 - UTTAR PRADESH SAHNI POLYCHEM 45 HINDAN VIHAR GHAZIABAD, 0 - UTTAR PRADESH GAURAV ENTERPRISES KHASRA NO.33 GALI NO1, HINDON VIHAR GHAZIABAD, 0 - UTTAR PRADESH

0988910065 1

01

35

0979090046 3

04

07-04-20 12

FIBERG LASS

2C1830 01

306.3

32,774

1,638.7

34,412.7

0998881193 8

08

16-04-20 12

HARDN ER

2C1520 01

39.6

7,032

351.6

7,383.6

0918881603 5

01

20-04-20 12

RESIN

2C1450 01

675

78,975

3,948.75

82,923.75

0918881603 5

21

04-06-20 12

RESIN

2C1450 01

450

53,100

2,655

55,755

0998881193 8

44

07-06-20 12

HARDN ER

2C1520 01

30

4,200

210

4,410

7 HAMRAJ
ENTERPRISES E-5 SEC-11 PRATAP VIHAR GHAZIABAD, 0 - UTTAR PRADESH 8 SAHNI POLYCHEM 45 HINDAN VIHAR GHAZIABAD, 0 - UTTAR PRADESH 9 SAHNI POLYCHEM 45 HINDAN VIHAR GHAZIABAD, 0 - UTTAR PRADESH 10 GHAZIABAD POLYMERS (P) LTD C-136, SITE 1 BSR INDL AREA GHAZIABAD, 0 - UTTAR PRADESH

0968881539 6

80

15-06-20 12

ELECT RIC MOTOR

0500000 4

8,118

1,095.93

9,213.93

0918881603 5

26

19-06-20 12

FIBERG LASS

2C1830 01

300

6,900

345

7,245

0918881603 5

28

25-06-20 12

RESIN

2C1450 01

225

26,550

1,327.5

27,877.5

0949080040 8

150

30-06-20 12

RESIN

2C1450 01

880

1,18,800

5,940

1,24,740

Total

3,48,574

18,118.73

3,66,692.73

Purchase in commission account

iv. Name and address of selling dealer TIN Tax invoice No Date of Tax invoice Description of commodity Name Code
Quantity / Measure

Part - II
Taxable value of goods Amount Total of tax amount of charged tax-invoice

1
Total

ATUL MITTAL Name and signature of authorised person

Date

20-07-2012

UPVAT - XXIV Annexure - A - 1

List of purchase returns i. Name and address of purchasing dealer
FIBRETECH INDUSTRIES E-176, INDUSTRIAL AREA, KAVI NAGAR, GHAZIABAD, UTTAR PRADESH 09390501047 Tax period ending on 2012-2013 30-06-2012

ii. TIN iii. Assessment year

(iv)

Name and address of selling dealer 2

TIN

1 1
Total

Tax-invoice/ Sale-invoice /Purchase invoice no 4

Details of purchase returned Date Name of commodity

Quantity / Measure

Taxable value of goods 8

Amount of tax charged 9

Total (8+9)

10

Quantity / Measure

Taxable value of goods 12

Amount of tax charged 13

Total (12+13) 14

Sl.no of debit note issued 15

Date 16

Sl.no of debit note issued 17

Date 18

11
Total

(v) Taxable amount of goods returned which were purchased against Tax invoice (vi) Amount of Tax involved in such goods

Rs. Rs. ATUL MITTAL 20-07-2012

Name and signature of authorised person Date

UPVAT - XXIV Annexure - A - 2

[See Rule-44(3) of the UPVAT Rules, 2008] List of purchases of Capital Goods made from within the state i. Name and address of purchasing dealer
FIBRETECH INDUSTRIES E-176, INDUSTRIAL AREA, KAVI NAGAR, GHAZIABAD, UTTAR PRADESH 09390501047 Tax period ending on 2012-2013 30-06-2012

ii. TIN iii. Assessment year

A - List of purchases of Capital goods made against tax invoice Name and TIN Tax Date of address invoice No Tax of selling dealer invoice 1 Total

Description of commodity Name

Quantity / Measure

Taxable value of goods

Amount Total of tax amount of charged tax-invoice

B - List of purchase of Capital goods made from person other than registered dealer Purchase Date of Description of commodity invoice No Purchase Quantity / Name invoice
Measure

Taxable value Amount of tax of goods with return

1
Total :-

ATUL MITTAL Name and signature of authorised person

Date

20-07-2012

UPVAT - XXIV Annexure - B

[See Rule-45(3) of the UPVAT Rules, 2008] List of sales made against Tax Invoice i. Name and address of selling dealer
FIBRETECH INDUSTRIES E-176, INDUSTRIAL AREA, KAVI NAGAR, GHAZIABAD, UTTAR PRADESH 09390501047 Tax period ending on 2012-2013 30-06-2012

ii. TIN iii. Assessment year

Sale in own account

iv. Name and address of purchasing dealer TIN Tax invoice No Date of Tax invoice
07-04-20 12

Part - I
Taxable value of goods
3,000

Description of commodity Name

ARTICL ES OF GLASS FIBER

Code
2C1830 01

Quantity / Measure

Amount of tax charged

150

Total amount of tax-invoice

3,150

1 SHARMA SONS SACOVA INSTRUMENT S PVT. LTD. E-175 INDL. AREA, KAVI NAGAR GHAZIABAD, 0 - UTTAR PRADESH 2 R.K. CHEMICAL INDUSTRIES 26-A DHAULANA INDL AREA HAPUR, UTTAR PRADESH - 0 3 ENNOV INFRA SOLUTIONS PVT. LTD 61-B, UDYOG VIHAR GREATER NOIDA NOIDA, 0 - UTTAR PRADESH 4 SHARMA SONS SACOVA INSTRUMENT S PVT. LTD. E-175 INDL. AREA, KAVI NAGAR GHAZIABAD, 0 - UTTAR PRADESH

0979050022 9

10

0948920158 6

21-04-20 12

ARTICL ES OF GLASS FIBER

2C1830 01

3,000

150

3,150

0946570603 9

28-04-20 12

ARTICL ES OF GLASS FIBER

2C1830 01

46

18,400

920

19,320

0979050022 9

02-05-20 12

ARTICL ES OF GLASS FIBER

2C1830 01

11

16,500

825

17,325

5 ENNOV INFRA SOLUTIONS PVT. LTD 61-B, UDYOG VIHAR GREATER NOIDA NOIDA, 0 - UTTAR PRADESH 6 SHARMA SONS SACOVA INSTRUMENT S PVT. LTD. E-175 INDL. AREA, KAVI NAGAR GHAZIABAD, 0 - UTTAR PRADESH 7 ENNOV INFRA SOLUTIONS PVT. LTD 61-B, UDYOG VIHAR GREATER NOIDA NOIDA, 0 - UTTAR PRADESH
Total

0946570603 9

25-05-20 12

ARTICL ES OF GLASS FIBER

2C1830 01

150

60,000

3,000

63,000

0979050022 9

10-06-20 12

ARTICL ES OF GLASS FIBER

2C1830 01

8,500

425

8,925

0946570603 9

10

14-06-20 12

ARTICL ES OF GLASS FIBER

2C1830 01

150

60,000

3,000

63,000

1,69,400

8,470

1,77,870

Sale in commission account

iv. Name and address of purchasing dealer 1
Total

Part - II
Taxable value of goods Amount of tax charged Total amount of tax-invoice

TIN

Tax invoice No

Date of Tax invoice

Description of commodity Name Code

Quantity / Measure

ATUL MITTAL Name and signature of authorised person

Date

20-07-2012

UPVAT - XXIV Annexure - B - 1

List of Sales Returns i. Name and address of selling dealer
FIBRETECH INDUSTRIES E-176, INDUSTRIAL AREA, KAVI NAGAR, GHAZIABAD, UTTAR PRADESH 09390501047 Tax period ending on 2012-2013 30-06-2012

ii. TIN iii. Assessment year

(iv)

1 1
Total

Name and address of purchasing dealer 2

TIN

Tax-invoice/ Sale-invoice /Purchase invoice no 4

Details of sales returned Date Name of commodity

Quantity / Measure

Taxable value of goods 8

Amount of tax charged 9

Total (8+9)

10

Quantity / Measure

Taxable value of goods 12

Amount of tax charged 13

Total (12+13) 14

Sl.no of credit note issued 15

Date 16

Sl.no of debit note received 17

Date 18

11
Total

(v) Taxable amount of goods returned which were sold against Tax invoice (vi) Amount of Tax charged in such goods

Rs. Rs. ATUL MITTAL 20-07-2012

Name and signature of authorised person Date

UPVAT - XXIV Annexure - C

Information to be furnished along with return of each tax-period in relation to purchases against Form - C Sl. No. 1 1 Invoice Date 9
Total
* Write 1 for resale, 2 for use in manufacture/ processing of goods for sale, 3 for minig, 4 for use in generation/ distribution of power, 5 for use in packing of goods for sale/ resale and 6 for use in Telecommunication network.

Name of seller 2

TIN 3

Address 4

State 5

Purchase Order No. 6

Purchase Order Date 7

Invoice No. 8

Description of goods 10

Taxable Amount

CST

Total Invoice Value 13

Form - 38 No.

11

12

14

Purpose of purchase of goods (write code*) 15

ATUL MITTAL
Name and signature of authorised person Date

20-07-2012

UPVAT - XXIV Annexure - D

Information to be furnished along with return of each tax-period in relation to goods received from out side State against Form-F Sl. No. Name of Consigner TIN Address State Details of challan/ invoice/ other document under which the goods were sent No. Date 5 6 7 Description of goods

1 1

Quantity or weight

Value of goods

9
Total

10

Name of Railway Station/ Post office/ Airport/ Transport Co.'s office from which the goods were dispatched 11

Details of RR/GR/Postal receipt any other document indicating the means of transport No. Date 12 13

Date on which the goods were received by the transfer 14

ATUL MITTAL
Name and signature of authorised person Date 20-07-2012

UPVAT - XXIV Annexure - E

Information to be furnished along with return of each tax-period in relation to purchases against Form - H Sl. No. Name of seller TIN Address State Purchase Order No. Purchase Order Date 7 Seller's Seller's Description bill/Challan bill/Challan of goods /Cash /Cash memo No. memo date 8 9 10 Quantity

1
Total

11

Value

Details of Export Order/ Agrement No. Date

Name of Airport/ Sea port/ land customs station of export

Name of Airline ship/ Railway/ goods vehicle or other means of export

Details of consignment note/ bill of lading/ railway receipt or any other document in proof of export No. 17 Date 18

Description of goods

Total quantity of goods exported by the document referred to in column 17/18

Value of goods referred to in column 20

12
Total

13

14

15

16

19

20

21

Name and signature of authorised person Date

Department of Commercial Taxes, Government of Uttar Pradesh UPVAT - XXIV

(Information to be furnished along with return of each tax-period in relation to purchases against Form - I ) Sl. No. Name of seller TIN Address State Purchase Order No. Purchase Order Date 7 Invoice/ Challan No. 8 Invoice/ Challan Date 9 Description of goods Value of goods

Annexure - F

1
Total

10

11

Name and signature of authorised person Date

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