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ABCD ETTSA, Punjab

Declaration Form (v.1)

March, 2005

Excise and Taxation Department, Government of Punjab

Declaration Form

See Section 14(2) of Punjab VAT Act, 2005

Claim of Input Tax Credit on stock on hand on 1 April, 2005

(Please read the Instructions carefully before filling the Declaration Form)

Name	VRN
Address

Part A. Stock details of tax paid goods

Sr. No.	Name of the Supplier	RC No. of Supplier under PGST	Declaration of Goods	Invoice No. and Date	Quantity	Value
(1)	(2)	(3)	(4)	(5)	(6)	(7)

ETTSA, Punjab

Declaration Form (v.1)

March, 2005

Part B. Computation of Input Tax Credit

Sr. No.	Rate of tax shown in invoice	Amount of tax shown in invoice	Rate of tax if amount of tax is not shown in invoice	Purchase tax, if paid		Amount eligible for Input Tax Credit	Remarks
				Rate	Amount
(1)	(2)	(3)	(4)	(5)		(6)	(7)

DECLARATION

I, ___________________ S/O __________________ in the capacity as __________________ (Proprietor/Partner/Director/____________) of M/s _________________ declare that the above said statement is true and correct to the best of my knowledge.

I, further declare that the documents on the basis of which Input Tax Credit is claimed have been retained by me.

Place:

Date; Signature

ETTSA, Punjab

Declaration Form (v.1)

March, 2005

For office use only

Date of receipt of claim

Signature of officer receiving the claim with designation

Date of verification of claim

Signature of officer verifying the claim with designation

Remarks

Date of stock verification

Signature of officer conducting stock verification with designation

Input Tax Credit granted	q Fully granted	q Partly granted	q Not granted
Reason, if not fully granted / not granted

Instructions

General

1. This Declaration form is required to be filed in respect of tax paid goods on which tax is paid under PGST where goods were taxable at first point.

2. The Declaration Form is in two parts, the first part (Part A) relates to quantity of stock and the second part (Part B) relates to the computation of Input Tax Credit.

ETTSA, Punjab

Declaration Form (v.1)

March, 2005

3. In respect of interchangeable or intermingled goods or it is not feasible to retain stocks with specific invoices, invoice details in respect of tax paid stock on hand on 31.03.2005 is to be determined on First In First Out (FIFO) basis. For example, if a dealer has 100 pieces of furniture where goods are purchased and sold over a period of time, the dealer could take up invoices starting from 31.03.2005 and go backwards till he reaches quantity of 100 pieces. Details of these invoices are to be provided in Column 5. Detailed example is given below:

Invoice No. and date	Purchase Quantity	Sale Quantity	Stock Quantity
1.4.2004 (opening balance)
10.4.2004	28	--	48
15.5.2004	-	18	30
30.6.2004	46	-	76
30.12.2004	50	-	126
02.01.2005	-	16	110
28.02.2005	10	-	120
24.03.2005	-	20	100 (closing balance as on 31.03.2005)

Part A Stock Details of tax paid goods

1. Column 1 is for the Sr. No. where you have to give running Sr. Nos. to each entry.

2. The name of the supplier of the goods which are in stock is to be mentioned in Column 2.

3. The registration No. under PGST of the supplier whose name is mentioned in Column 2 is to be stated in Column 3.

4. Column 4 requires you to fill up the general description of the goods e.g. if you are a dealer of motor vehicles, you need to write the make of the motor vehicle and identification marks, if any, of the motor vehicle. In some cases, you may give the size to distinguish different types of goods held by you in stock

5. Fill in the invoice number and the date of the invoice relating to the purchase of the quantity that is held in stock in Column 5.

6. You are required to fill in the quantity of stock held on 1 April, 2005 in Column 6. Here, you must write what is the measure of the quantity i.e. whether it is kgs, gms, pices, metres etc.

7. Fill in the purchase value of the quantity of the goods held in stock on 1 April, 2005 in Column 7.

Part B Computation of Input Tax Credit

1. Column 1 of this part is a running Sr. No. and should refer to the same Sr. No. that is given in Part A. Thus, the details to be filled up against Sr. No. in Part B will relate to the stock details for the same Sr. No. in Part A.

2. Column 2 of this part required you to fill in the rate of tax which is shown in the purchase invoice referred to in Column 5 of Part A. If the sales tax amount is not shown separately in the invoice, this column should be left blank.

3. Column 3 requires you to fill in the actual amount of tax shown in the invoice as referred to in the corresponding Sr. No. of Part A, Column 5. If sales tax amount is not shown separately in the invoice, this column should be left blank.

4. Column 4 requires you to write the rate of tax included in the purchase price in case the purchase price is inclusive of the tax amount. Otherwise, this column should be left blank.

5. Column 5 requires you to provide the rate and amount of purchase tax, if any, paid by you on the goods together with payment reference.

6. Please compute the amount eligible for Input Tax Credit in accordance with Section 14, Rule 20 and mention in Column 6. Please attach a separate sheet showing the calculation of the amount eligible for Input Tax Credit.

7. In the remarks Column i.e. Column 7 you may put remarks in case you need to provide specific explanation in relation to any of the columns filed in by you relating to that entry e.g. if 10 pieces were purchased under a particular invoice and 4 of them are in stock on 1 April, 2005. You may, in the remarks column, mention the same.

8. Please keep the concerned invoices and other tax paid documents in a separate file ready for verification.