FORM I

(See Rule 5)

Return of turnover for the month/quarter ending .................................of the assessment year.................................
Registration Mark and No............................................................................................................
Name of the dealer.....................................................................................................................
....................................................................................................................................................
Status .................................................................
(Whether individual, Hindu undivided family, association, club, society, firm, company, guardian or trustee)

1
Gross turnover including value of goods transferred to other place(s) of business or agent(s) or principal (s) outside the State otherwise than by way of sale but excluding cost of freight, delivery or installation when such cost is separately charged.
Deduct

Rs..................................................

(a)
Turnover of goods the sale of which has taken place outside the State, as defined in section 4 of the Act. Rs...................................................

(b)
Turnover of goods sold in the course of export out of India, as defined in section 5 of the Act.
Rs..................................................

(c) Turnover of goods sold within the State. Rs..................................................

(d)
Turnover of goods returned to the dealer by the purchaser within a period of six months from the date of delivery, as laid down in section 8-A of the Act.
Rs..................................................

(e)
Value of goods transferred to other place(s) of business or agents(s) by way of sale in respect of which exemption is claimed under section 6-A of the Act.
Rs..................................................

2
Balance.- Turnover of goods sold in the course of inter-State trade or commerce.
Deduct
Rs..................................................

(a)
Turnover of goods, unconditionally, exempt under section 4 of the U.P. Sales Tax Act, 1948, sold in the course of inter-State trade or commerce
Rs..................................................

(b)
Turnover of goods purchased and sold by transfer of documents of title thereto on which exemption is claimed under section 6(2) of the Act.
Rs..................................................

3 Balance.- Taxable turnover in respect of inter -State sales. Rs..................................................

4 Goods-wise break-up of above

(1) Declared goods

(a)
Sold to registered dealers on prescribed declarations
Rs...................................................

(b)
Sold to Government on prescribed certificate
Rs...................................................

(c) Sold otherwise Rs...................................................

(2) Other goods

(a)
(a) Sold to registered dealers on prescribed declarations

Rs....................................................

(b)
Sold to Government on prescribed certificate
Rs....................................................

(c) Sold Otherwise Rs....................................................

5 Turnover taxable-

(i)
At.......%Rs............................................on which tax amounts to Rs................................

(ii)
At .....%Rs............................................ on which tax amounts to Rs................................

(iii)
At.....% Rs............................................ on which tax amounts to Rs................................

(iv)
At.....% Rs...................... ......................on which tax amounts to Rs................................

(v)
At.....% Rs.............................................on which tax amounts to Rs................................

(vi)
At.....% Rs.............................................on which tax amounts to Rs................................

(vii)
At......%Rs.............................................on which tax amounts to Rs................................

Total ....................................... Total ....................................

6. Tax paid, if any, by means of Treasury Challan /Bank Draft /Cheque Rs.................................

Dated....................................................

7. Balance due / excess paid, if any..................................... Rs.................................

Declaration

I enclose with this return a signed list of the-

(1) Sales made to-

(a) Government, in respect of which concession is being claimed under section 8(1 )(a) of the Act;

(b) registered dealers, in respect of which concession is being claimed under section 8(1 )(b) of the Act;

(c) registered dealers, in respect of which exemption is being claimed under section 6(2) of the Act.

(2) Despatches made to any other place(s) of business or principal(s) or agent(s) outside the State in respect of which exemption is being claimed under section 6-A of the Act

(3)
The original copies of the declarations and certificates so far received by me in respect of the aforesaid sales/despatches are also enclosed herewith, along with separate detailed list in respect of each category of declaration and certificate.

(4)
I ............................... proprietor of the business/partner/manager of firm/director/managing agent/principal officer of company incorporated under the Companies Act/Karta of the Hindu undivided family/principal officer managing the business of club, association or society/guardian of minor/trustee of trust/duly authorised agent of the dealer under his written authority/an officer duly authorised by the Government do hereby declare and verify that to the best of my knowledge and belief, the above statement is true and complete and nothing has been wilfully omitted or wrongly stated.

Place------------------- Signature.......................................

Date-------------------- Status............................................

Acknowledgement

Received from 'Messers................................................................................................... a dealer possessing registration certifi cate No............................................................. a return of turnover for the period from .......................... to....................................................... with enclosures mentioned therein.

Place............................................................... ............. Receiving Officer
Date..............................