<% '/********************************************************************************** '********************************************************************************** '* Name Of the File: form_la1.htm * '* Purpose : This page displays Form LA1 * '* * '* * '|-------------------------------------------------------------------------------| '| Author | Created On | Version | Remarks | '|----------------------|------------------|------------|------------------------| '| G.Madan Kumar | 01-Aug-2001 | 1.0 | | '| | | | | '|-------------------------------------------------------------------------------| '********************************************************************************** '**********************************************************************************/ %> FORM LA1                 Return of Annual Turnover

FORM LA1                
Return of Annual Turnover
(See Rule 3(2B)(a))

 

To

The Deputy/Commercial Tax Officer
__________________________________________
__________________________________________
__________________________________________


I _____________________________________________________________ Son/Daughter /Wife of

_____________________________________________________________(Tobacconist name/Firm name) furnish herewith the statement of the total and net turnover of receipts of Tobacco Products supplied during the year commencing from______________________________________and ending on _____________________________________ give the following connected particulars.

                                                                                    A.P.Tax on Luxuries Act

 

1. Registration Certificate Number : 


2. Address of the principal place of :
Tobacconist


3. Particulars of payment :

    a) Total tax payable 

    b) Deduct

         (i) Adjustment of refund of tax C.Notice:

        (ii) Amount of rebate of tax as per :

   c) Net tax payable (a-b) :

   d) Total Tax paid :

        i) Cheque/DD particulars

           Number : Date : 

           Bank : Branch : 

        ii) Cash (Receipt No. If paid)

            Receipt No : Date :

        iii) Challan particulars

            Number : Date :

            Name of Treasury :

    e) Balance payable if any 

 

STATEMENT OF TOBACCO PRODUCTS SUPPLIED DURING

Commodity Description

Code

Total Turnover of Receipts

Exempted turnover of Receipts

Net turnover of receipts

Rate of tax

Tax

(1)

 

(2)

(3)

(4)

(5)

(6)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Note: In case any commodity is taxable at different rates, by virtue of specific orders, please mention the commodity separately for each rate of tax.

 

 

                                                                                                                                                                                                                                              Signature of the Tobacconist.

 

 

DECLARATION: 


I/We _________________________________________________________Son/Daughter/Wife  of _______________________________________________________________    declare to the best of my/our knowledge and belief, that the information furnished in the above statement is true and complete.

 

Place :

 

Date   :                                                                                               Signature ____________________________________

                                                                                                             Status and Relationship to the Tobacconist.  _______________________