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FORM 202

MONTHLY/QUARTERLY/ANNUAL RETURN FOR REGISTERED DEALERS WHO HAVE BEEN GRANTED PERMISSION TO

[See sub-rules(3) of rule 19 and sub-rule(4) of rule 20]

PAY LUMPSUM TAX UNDER SUB-SECTION (1) OF SECTION 14, 14A READ WITH CLAUSE (bb) OF SUB-RULE (8)

OF RULE 28, 14B, 14C OR 14D OF THE GUJARAT VALUE ADDED TAX ACT, 2003.

Registration Certificate No.

Enrolment Certificate No.under the Gujarat State Tax on Professions, Trades, Callings & Employments Act,1976

Registration Certificate No.under the Gujarat State Tax on Professions,Trades,Callings & Employments Act,1976

Monthly return for the tax period From To

Name of the Registered Dealer

Permission No.

Retail invoice issued in the period from No. To No.

24100400203

PECO60023814

R-233

01/10/2013 31/12/2013

POPULAR ENTERPRISE

(2) Total turnover for the period from April of the current year and ending on the last day of the previous return was

5768441 1447250

(3) Total turnover during the tax period of this return was 951445 319244

(4) Total turnover for the period from April of the current year and ending on the last day of the this return is

6719886 1766494

(1) Total turnover during the previous year ended on 31/03/2013 was5907733 2752812

Sale Purchase

PART A TOTAL TURNOVER (In Rupees)

Amount of tax payable on (i) above at the rate of is 0.6 4935

(3) Total amount of lump sum tax payable (i) + (ii) 4935

Amount of tax payable on (ii) above at the rate of 0 0

(ii) Turnover of goods which are manufactured and sold 0

(1) Total Turnover of Sales 951445

(i) Turnover of goods which are resold. 822561

(2) Turnover of Sales of taxable goods on which lump sum tax is payable

(1A) Less: Turnover of sales of goods on which no lumpsum tax is payable u/s 5 128884

PART B CALCULATION OF LUMPSUM TAX (In Rupees)

Permanent Account No.(PAN) ACYPK3920H

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Total [6.1 + 6.2] 0

(7) Net Amount Payable [(5) - (6)] 6685

Bank/Treasury in which amount of tax paid AXIS BANK LTD

6.2 Adjustment of amount deposited under section 22 0

Date of Payment __/__/____

Challan No.

(8) Amoun Paid 6685

(9) Amount Outstanding / Refundable 0

(2) Amount of tax payable (Sr.No.(4) of part C) 1750

(2A) Amount payable on account of reversal of tax credit 0

6.1 Credit u/s 59B(9) of the amount of tax deducted at source (enclosed form 703) 0

(1) Amount of LUMP SUM Tax payable (Sr.No.(3) of part B) 4935

(5) Total Amount Payable 6685

(6) Less :

(3) Amount of Interest payable under the Act 0

(4) Amount of Penalty payable under the Act 0

PART D PAYMENT OF TAX

Status :

Place :

Date :

declare that the information given in this Form and Annexure thereto is true, complete and conform withmy book of accounts, that list of tax invoices for the purchases made in this tax period is enclosed asper the Annexure provided with this Form,that conditions specified in section 14,4A,4B,14C or 14D arefully complied in this case that the total turnover for which retail invoices are not issued is ofRs. during this tax period.

DECLARATIONI , (Designation) ,

Full Signature of authorized signatory

4 % 35000 1400 350

1 % 0 0 0

1 2 Code 3 4 5 6

Total 35000 1400 350

Other 0 0 0

12.5 % 0 0 0

Total Tax (Col. 5 + Col. 6) 1750

Less (1) Turnover of purchases exempt from tax under GVAT Act. 0

Total Turnover of Purchases 319244

Rate of Tax Commodity HSN Turnover of Purchase Tax Additional Tax(4) Tax payable on the purchase of taxable goods under section 9 on (3) above.

(3) Balance (Turnover of taxable goods,if any,purchased from a person other than registered dealer.

35000

(2) Turnover of taxable goods purchased from registered dealers. 284244

PART C TURNOVER OF PURCHASES (In Rupees)

JAMNAGAR

20/01/2014

0

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FOR OFFICE USEReturn received by _____________________________ Dated _______________ C.T.O. Code No. _____________________________ Entry no. in office recode _____________________________ Dated _______________

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0 0 0 0

0 0 0

Turnover of goods which are resold

Turnover (Excl. Tax) % Rate Tax Turnover (Incl.Tax)

0 0 0 0

0 0 0

Turnover of goods which are manufactured and sold

Turnover (Excl. Tax) % Rate Tax Turnover (Incl.Tax)

0 0 0 0 0 0

0 0 0 0 0

Tax payable under section 9 (others)

Turnover (Excl. Tax) % Rate Tax Additional Tax Total Tax Turnover (Incl.Tax)