FORM 201

Basic Details
Date of original return (dd/mm/yyyy or dd-mon-yyyy)
Acknowledgement No. of original return
Attach a note explaining the revisions
Turnover of sales and purchases
Description of sales and purchases Sales Purchase
01 Total turnover. 46311049.00 11386647.00
02 Deduct
02.1 Exempted from tax under section 5(1) 24000.00
02.2 Exempted from tax under section 5(2) 0.00
02.3 Branch transfer or consignment to and from outside
the State. 0.00
(a) of the goods manufactured 0.00
(b) other than (a) above 0.00 168041.00
02.4 Purchases not qualifying for tax credit as per section
11(8) read with section 11(5)
02.5 Reduction as per item 37 of Annexure-III 35662646.00 6589172.00

02.6 Charges towards labour,service and other charges

referred to in sub-clause (c) of clause (30) of section 2
Total of (02.1) to (02.6) 35686646.00 6757213.00
03 Net Taxable Turnover (01-02) 10624403.00 4629434.00
Output Tax

Rate of Tax* Tax Type* Commodity* HSN Code Turnover excluding tax.* Tax payable.* Additional Tax Total Turnover including tax.*
4 Output Tax 4.0% 10523978.00 420961.00 102864.00 11047803.00
12.5 Output Tax 12.5% 100425.00 12554.00 2511.00 115490.00
4.0% 168041.00 6722.00 1680.00 176443.00
Total of Output Tax
Total* 10792444.00 440237.00 107055.00 11339736.00
04.1 Total Output Tax 538890.00

04.2 Total Tax Payable on

Purchase of taxable goods under
section 9 8402.00
Tax Liability 547292.00
Input Tax
Value of Goods(Rupees)
05 Purchase of capital goods from
registered dealers
06 Purchases of taxable goods other
than capital goods from registered
dealers. 4543354.00
07 Purchases of taxable goods from a
person other than registered dealer. 0.00
Total of input tax 4543354.00
Calculation of input tax credit
Tax charged in respect of
Rate of Tax(input tax)* Commodity* HSN Code Turnover of purchase.* item 5 & 6.*
4 4.0% 4289169.00 171565.00
12.5 12.5% 254185.00 31773.00
Total of Input Credit 4543354.00 203338.00
Total (Tax + Additional tax) 252559.00
Tax Payable on Purchase of taxable goods under section 9 8402.00
Tax paid under the Gujarat Tax on Entry of Specified Goods into Local Areas
Act,2001 (Guj.22 of 2001) 0.00
08 Input Tax Credit 260961.00
Additional tax
42867.00
6354.00
49221.00
Tax Credit
Admissible tax credit
Description of tax credit (Rupees)
09 Tax credit brought forward from previous tax period 124763.00
10 Tax credit as per 8 260961.00
Total (09 + 10) 385724.00
Adjustment of tax on purchase as per Annexure II 0.00
11 Gross tax credit 385724.00
12 Reduction in tax credit:
12.1 Under section 11(3)(b)(i) (other than 12.2 below) 0.00
12.2 Under section 11(3)(b)(ii) (of the goods
manufactured) 0.00
12.3 Under section 11(3)(b)(ii) (of fuels used for
manufacture of goods) 0.00
12.4 Under section 11(5) (for use in manufacture of goods
exempted from tax under sections 5(1) and 5(2)) 0.00
12.5 Other Reason 47786.00
TOTAL : [12.1 + 12.2 + 12.3 + 12.4 + 12.5] 47786.00
13 Net Tax Credit admissible (11 - 12) 337938.00
Net tax payable
Description of net tax payable Rupees
14 The amount of tax payable as per 04.1 538890.00
15 Tax payable on the purchases of taxable goods under
section 9 as per 04.2 8402.00
16 Total Tax 547292.00
17 LESS:
17.1 Adjustment of tax on sale as per Annexure I 0.00
17.2 Remission under section 41 0.00
17.3 Credit u/s.59B(9) of the amount of tax deducted at
source (enclose Form- 703) 0.00

17.4 Adjustment of the amount deposited under section 22 0.00

17.5 Net Tax Credit as per 13 329536.00
TOTAL : [17.1 + 17.2 + 17.3 + 17.4 + 17.5] 329536.00
18 Net Tax Payable (16 - 17) 319998.00
19 Excess Amount of tax credit (17 - 16) 9538.00
20 Excess Amount of tax credit adjusted against CST
21 Excess Amount of tax credit claimed as refund 0.00

22 Amount of tax credit carried forward to the next tax period 9538.00
Payment of tax
23 Amount payable
23.1 Amount of tax payable as per 18 319998.00
23.2 Amount of interest.
23.3 Amount of penalty
TOTAL : [23.1 + 23.2 + 23.3] 319998.00
24 Amount paid 0.00
25 Amount outstanding 0.00
26 Amount paid in excess 0.00
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 Date of payment*
(dd/mm/yyyy or dd- Bank/treasury in which
Chalan No.* Amt. in Digits* Amt. in Words* mon-yyyy) amount paid.*
TWO LACS EIGHTEEN
THOUSAND EIGHT HUNDRED STATE BANK OF INDIA-
6702001355004013111025307 218892.00 NINETY TWO ONLY. 13/11/2010 LAKHTAR
Annexure I
Adjustment in sale as per Increase Decrease
27 Sub-section (1) of section 8
27.1 Sub-clause (a) (sale cancelled)
27.2 Sub-clause (b) (alteration in consideration
of sale)
27.3 Sub-clause (c) (goods returned)
28 Sub-rule(7) of rule17 (pertains to
transactions through commission agent)
Total : 0.00 0.00
29 Net of Sale
Adjustment in tax on sale
Annexure II
Adjustment in purchase Increase Decrease
30 on account of credit note/debit note 0.00 0.00

31 on account of goods on which right to use

such goods is transferred as defined under sub-
clause (d) of clause (23) of section 2. 0.00
Total: 0.00 0.00
32 Net of Purchase
Adjustment in tax on purchase
Annexure III
Reduction Increase Decrease

33 Sales/purchases as specified in sub-section

(2) of section 5 of the Central Act.(By way of
transfer of documents of title) 0.00 0.00

34 In the course of export/import out of country. 9118338.00 1192790.00

35 Sales/purchases as specified in the sub-
section (3) of section 5 of the Central Act. 231297.00 39782.00
36 In thr course of interstate trade and
commerce other than branch transfer or
consignment. 26313011.00 5356600.00
37 Total 35662646.00 6589172.00
Annexure IV
Description of top 3 commodities dealt in during the tax period.
Commodity1 RCF DURABLANKET
Commodity2 RCF MODULES
Commodity3 RCF BOARDS
Tax invoice issued in the period from No 1761
Tax invoice issued in the period to No 2031
Retail invoice issued in the period from No 1755
Retail invoice issued in the period to No 2035