9 J9EIEE www.govtpress.nic.in & A SO @S R S s B T 24] Td, gEraR, faTe 7 TRad 2024—TH 18, AP 1945 qIftTigs &R I HATHT Too™ A, HaTer A7, fRATF 7 WA 2024 IS CT/4/2/0001/2024-Sec-1-05(CT)(06) : FEIIRY I AR, 2002 (HHIB 20 T 2002) @ GRT 20-% F SUERT (1-@) N YIO AA @ T A AR OgY, oY WRER, TAGERT RS Taaredl & dRRa s 8, e af 2021—2022 o 2022-2023 @ HX PR @ Al mAWRy de ARFTH, 2002 EFHATE 20 W 2002), S Ry o= IRIFRM, 1956 (G 1956 1 74), FeAvRE Aey RaRe Iuaw sferfm, 2018 (FHIH 11 W 2018) Tl FeOYW ©E WS Sioia RaRe Suax fFTH, 2018 (@91 12 | 2018) & 3 cifda &€ o g FAdy < @ 5 e s @ e 20 F SR (1), I ey a3 ARfEE, 1956 F URT 9, TAHRY AR RARe SR SRR, 2018 B GRT 13 T FIYLT €E We Ioie RaRe SuAR AR, 2018 B aRT 13 & WO & oy Sad R @ a8 SHel e} FuRRer R s, vt s vl @ seadiv wed gg, o e T wWe wme sefd -
1. R T, o e afdfEm, wmdw Aex RuRe Suwe sl qen qERY B W o RuRe SUeR aREE @ ST 3@ TR/SUER B G $ gTEe I SRR B g o B Wi (2) & snie ot R N o SR W e o dofign SaER § WY e & iR Ugi, ot 3k TERS TERe AN, $ B9 WK we Rea ecacd ® (R A WY ¥ Ugiel I HET STl 8) | 47 48 AeIY IoT9, TG 7w 2024
2. EhfaRaa RRT weard 56 ARREAT & ded o TE B — (@) W T R At F 9§ 2021-2022 TN 20222023 & o R Syud T YT T B | (@ W wawE e aeet § e aRtEE @ aN 18 @ SR (5) B wus (@) @ oo a¥ 2021-2022 / 20222023 B forg ¥ A R A & T FE 9 @R A TE N a5 I T qier HAST WA B B gqd & frar mar &)
(1) ¥ aard R A § B Wuden @ IR de e B awT 19 Bl SWIRT (6) & SefF a¥ 2021—2022 / 2022-2023 F fAY FIM T R D TE B TR A YT B D qd 59 el 1 rer € faar T & (=) Y AT ¥ ol Sad offrEE & el wore B # RRE weR @1 aee T qrar T 8
3. omded weqd fhar Wi — weEwdw dT AffwEm, 2002 (FHIG 20 W 2002), P fama B ARFEE, 1956 (G 1956 I 74), FeANRE Aiex AR Sus RIFRE, 2018 (@WIE 11 T 2018) T AEVRY ¥ WS vt@ RaRe Susy S, 2018 (@%i® 12 W 2018) B A U AIIRET ERT T ARG A B B, B W, B T T B o F qiaR Td ARREAR gerd—gerdh T wege fHY S |
4. T YRGS B B GG : T ARG G, 59 SRR & et B F G AL B, e 39 SINET @ Y W 60 A B R wRa far ST | =
5. @} ko FRER — amed, 59 Suge o) FuRe afe @ W wgd %fiffimmfifi#mflzom—zmz / 2022—2023 B X R yHERoT e I
6. NG B WY Wer ™ Y WM el TR — (@) W& a8 & Ry ga by T¢ @R qer @ A @H B, aR B A, WA S WET B w F AA DY AR | (@) uRAT = frger Wata ¥ 2021-2022 AT 2022—2023 ¥ T @R W T RIS ¥ IRE T, 98 e B WA @ Y AAR B TS FodEr Rare, aft gl & wxge & B TE B, IR PR | M 3 Ama == IR & ofm e/ 16 /$-1 /32 /79 /31E) = # ge a9 R B R ) B forg RRa Bwen o/ e =, S Tl D e A iy F wer fy e |
7. o T arelt whhar, R ol e Fefeor far wan s e — @) afr a= Fuker o, e @ B ey Twd b T 8 S ool orET & orerar TR & Wey F i gR WE O B, @ 98 Imws B G FT T FAEL TS B | (@) afx gorgdled B¢ 3R o W &, A vEe RO B ARARET P gU BRY A I T TR b Sem aiR g @ AR R A oong AT SRS BT Ao fooam S| TG 70, i 7 BRad 2024 48 (1) (M emiew, IR AT BE @, ¥ H0 AR @RS FRga el FPRA F w%mmwmmwmmwmm foerior famam v e SO @) R = g 2q Fraa e @ orguRe e § ar g e g S R A e ARER @Y fr S SR SHd g @ #1 Al sl )] I B R U T A GEE e B aiE § 30 B & A ¥t e | SR AR sy @ ¥R @a B wEE AE Ry 9 @ 97 ¥, T8 SYIRET A QA 5 ST G FIBN FY fordn T B | @) Wfifiw%fi%wafifimwfiwtflmvfi% A B YT @R AT @) ufE A w9 W I @ S | (®) amgd, s @ FR1 SRREET @ g & forg Wl sgew W g S W | ured—a e e AR @ o a¥ 2021-2022 /20222023 (s A AL W) A @ D Rt @ i amde ferg @ frefeor gawor % aftrgeen wale [T &1 A T qar - (=) wxam & Year wiid N
3. | T gNT 18 W SUERT (5) AT ART 19 B SR (6) D A e Ay B wey ¥ fper oafy @& fag ARkw o fear war en AR gl @ ARw @ gfefefd Hers |
4. [ Q@ e B IuIe @1 faaRer I jChicd
5. | 7 iR
6. | waMfar (@) [ 9o ¥ wiRa et a1 aRe a1 FHeRITE = B Al @) [ 7= 5 @ R () | BE A% @ AR [ age Bt (&) | ®= goa @ fg QAR @Y fspa ¥ @) | = @ e fawa/ama g @) | st faeea it (®) | *a & IR gl B agEA | (@) | w1 B HiTR THI TS, SHIE BT
(50) | o wMet 48 (2) TG o9, s 7wy 2024
7. [ @R Ar7 (o) (5-6)
8. TR A Gl R (CHNTY) B aX D SITER AR T B T = aE B Lokad 33 wierea 29 g 23 g 19 R 14w o AT
9. mmfifi@m&fi!fi?mdflm)(fifl?fimswmwafr!nH'Nffifl"rmfi)\ TR B R AR oG B4 W | Rewa @1 T AT &R I W, | e g fsar mar | 33 ghvea 29w 23 yfoRa 19y 14 gRR
10. T 9-%% B I AR TR it PR kY atex T fawa (@i #) REiiEs |9 AT
1. R 035 @ ST SR Y § ST IR GE I AR (Ravwier) (2 @ gRT ST fan IR, arsfieRer gR) JfaRaw v uf dex R g B9 IR AfTRaT @Y ¥ AN PR B (efex ) < Rirerenr aifge fsar RCs 450 ©9Y 250 ©9¢
3.00 ®9¢
1.50 ®9Y gl AT EChak s
12. [ 3 ART (B+8+10+11) AW oI9S, fRA1F 7 FRad 2004 8 (3)
13. WA X RAT B IO R /IRRad #x TR | ARG @ o B4 R/ B I aR RaT e A (dew #) 33 wRrm 20 HRrea 23 g 19 wRRTa 14 g
14. ®. | ¥ 2020~2021 B BX FEROT IER /IR AR/ AETAIA e g1 9¥ 2021-2022 G AU AT F¥ Rae @ Al (@ 2021—2022 3G ST W @Y @, | a¥f 2021-2022 & X (N TR/ I I/ AR T gRT a¥ 2022-2023 ¥ UG T I R @ RN (@ 2022-2023 B AT TR ARY TA AN (13+14) PR T o B fvg FAEING Ta 3R Ree @ Rr Y 202223 /A 2023—24 B fo1Y SRV SFTA DY ReT DY A 9 & f9wg ARG AT @} RaT @ I (15)—(16+17) 39 34 N I (12—18) GRT 18 (4) (6) ® M <ol ) AR (@F% <4 &) HRT 18 (4) (@) B S Wk B ¥R (@ <4 &) WY Y Py, A TG ARG B g R (19+20+21) A gRT o R (@R g ¥ o @ s 8) ABTE. GH T B N (LELTH. YA OF @ g Hf e | ¢ o, aft gd # yga 78 e T a) IO AR QT B I (ARG, HHIB) O AR @I AN (23-+24+25) Iy sfaRa AT (22—26) IMATH D I S B TS W (AT . 27 D S § AA | TR T4 i) ol (TFTw) TARERT weaia Fean & f Sk Ry T aeg W e AR few | 9@ 48 4) AR ST, faTiF 7 BRAd 2024 e Mflfimmafifim%sflflflzw—u/m—mafimfimwfi forg @ Feafvor yewor ¥ ARET FHE |1 awéfi)a% o) . | () Fawm @1 usaE wHEE . | @1 aRT 18 @ SUEWT (5) AT OWT 19 F SUURT
(6) @ anefr ey erafer & waw F fed oAy & g/ forg AR Wl fear war en afy B @ AW P wferferfl Her w1 L Wdllcu%fimfifimmwm . | TFa R g EIGEL (@) | wearaad foma (@ @ w9 wed A /3-1/%-2, FH W) (@) | 3 welodl (Sus faaRvT U e <) T peradt . | &% 9rg s (5-6) TR ARG R #1 R IR e EEZ fRrgeer e o s’ &Y UG @AY W Y IR B UL EER q¥g_ P faaxor i IR R [ ¥ olfrw 31 o 18 B SR (@) ® GUS (F) B FIAN @A BT I (afk 27 &) .| e R @) awT 188! STENT (4) B WS (@) B ATAR WK DY ofdr @R <F =) .| B &d @, Tt Ud wRG (10+11+12) T AT | e wfem @ o Ama B & aeg WHEING T 3% Rae Bl 2
15. | ST ERT S @) TS XM (@R g4 A o) @ T &) IO ARG e T Bl YR RIR.G.3. i) TRT (14+15+16) EEE N ) .| S @ wWa o @ TS IR (Aol TR U oA e av) L P TIIRRIER / AER / ST / A TAIGE) v Rt TARERT e Fea € fF SR AT MY qed W g iR femr § 6 R 4 (5) TR 1o, i 7 st 2024 U= T Uy AeX RARE sUS ARG, 2018 ¥ 3T A 2021-22 /2022-23 (St # WH[ W) & af & R w1 PR vaRor f JgEr wAE - R =-mmmemeen &yt e o (@ Fufor safy . wia, T FAuRor sfmd
1. SHTHTS & ATH:
2.0 :
3.fe=:
4. Fex Reufte 6 Refr &1 FFa ad
5. ot &R, FoRrd Aex feuRe o fran o &, @1 Repd A(pw, 39 o & @A 5, R FE AT Golipa e GRT 3% A UX 3T ISR I W R
6.7 feufe o mad (afy dfs 5 3 wfEwfea aef &) - (TF) 7T T T & AR @) HTRAT AR F A 3
(1) R % TR e & epea A @R) Ry i & SRR, 2005 (2005 1 FArT HfAfRA T 28) & grEuE Ed TR TR AT Ry e & & Rud sor$ s R
7. PE 3T HekAT
8. #reY Feufe &7 &X AT 3mad ((4) - (5+6+7)]
9.9% ¥ o W 3US T R S ¥
10. &7 3UER & ARy
11. &7 =S
12. 37 enfeéa
13.87 3= i
14. 5 &7 TR [10+11+12+13] 15, el ERT ST Y IS AR
16. |1 &7 faavor-
17. O WA ey Hr afy
18. 99 RN Fw H AR [14- 15+16+17)]
19. TS & WY AT A 7E TR (IR F 18 F e[ F Aol AR wd ReAH) 48 (6) YR X979, AP 7 Bl 2024 .................................. ORTIER /AR / SRNGR /Fell (THGTE) . A W @R € BF SR RU v qza A a4 AR R @ ' 55 SRR o WA T A WIeT-8 woy Wiy o e St suaR A, 2018 & HW @ 2021-22 /2022-23 (S 8 @Y @) @ Jafr & P T AARoT yeor @ e wHi - R@AH ---remmeem F = e o (@R FEROT AR .ecccmeinnnnn )
4. wE T doter B WA T WHA Iad
5. Gofpd 2reR, Fored aré Tz Sore a fvan T ¥, 1 R e, 39 U & @y 5, Ry T T GNP ol gRT 3 3G W & SUDT I AW R ¥
6.71% ¥ o 1 mad (afE ofes 5 F afeEfea a9 @) - (TF) AL GeT T & Al @) ARSI AR & g @) e & AR Brf ¥ s & @R) Ry e & R, 2005 (2005 B FeAra JRFTH FEA 28) & ST H aed WER R ARG B anfiE & & Rua g o fr 6 R
7. B 3T Fetdr
8. ¢ ¥is O5 B F ATT IA [(4) - (5+6+7)]
9.9% & o W 3UaR 3reT RRr S ¥
10. &7 3 F ARA
11. &7 =t
12.27 enfea 13,39 3= ARy
14.3 33 TR [10+11+12+13]
15. T gRT S i I ARy 16, T 7 fraor- YR v, fasie 7 BRadl 2024 48 (7) T
17. ATTH FARES 3meer i R
18. AW faRea @r A AR [14- (15+16+17)] 19, 3t & 1 s A T IR (3RS 5 18 & IequrerT F T AFR T ReAD) TRV B ST B AH ¥ AT AR, AT T, S Are, e 7 wRad 2024 H—CT—4—2—0001—2024—Sec-1-TFA(CT) ~IRT & WA B I 348 B TS (3) B FARVT § g6 ST P AR FHHE CT—4—2—0001—2024—Sec-1-TrA(CT)(06), frtics 7 HRaA 2024 FT IS 3TFaE TSI & TR ¥ TIGERT TepIIT Fobalm SIrerT . TEIYRY B IS B T W AT SRIAIER, T T, Sy 48 (8) ARG 19, AP 7 BRad 2024 Bhopal the 7" February 2024 No. CT/4/2/0001/2024-Sec-1-05(CT)(06) : In exercise of the powers conferred by Sub- Section (1-B) of Section 20-A of the Madhya Pradesh VAT Act, 2002 (No.20 of 2002), the State Government, hereby, notifies that the assessments of the registered dealers for the cases of year 2021-22 and year 2022-23,pending under the Madhya Pradesh VAT Act, 2002, (No. 20 of 2002), Central Sales Tax Act, 1956 (Act No 74 of 1956), Madhya Pradesh Motor Spirit UpkarAdhiniyam, 2018 (No. 11 of 2018) and Madhya Pradesh High Speed Diesel UpkarAdhiniyam, 2018 (No. 12 of 2018),shall be deemed to have been made for the purpose of sub-section (1) of section 20 of the Madhya Pradesh VAT Act 2002, Section 9 of the Central Sales Tax Act 1956, Section 13 of the Madhya Pradesh Motor Spirit UpkarAdhiniyam 2018 and Section 13 of the Madhya Pradesh High Speed Diesel UpkarAdhiniyam, 2018, subject to following requirements, restrictions and conditions, namely:-
1. The registered dealers shall be the retail outlets (commonly known as Petrol pumps) of only such Petrol, Diesel and Compressed Natural Gas, which are purchased after payment of tax/cess under the Madhya Pradesh VAT Act, The Madhya Pradesh Motor Spirit UpkarAdhiniyam and the Madhya Pradesh High Speed Diesel UpkarAdhiniyam from any of the oil companies notified under sub section (2) of Section 9 of the Madhya Pradesh VAT Act or from any other registered dealer in the State of Madhya Pradesh.
2. Following registered dealers shall not be eligible under this notification —
(a) The dealers in whose cases tax evasion has been detected for the year2021-2022 and 2022-2023.
(b) The dealers in whose cases notice has been issued for additional amount of tax under clause (b) of sub-section (5)of section 18 of the VAT Actfor the year2021-2022 / 2022-2023and compliance has not been done before submission of application.
(c) The dealers in whose cases notice has been issued under sub-section (6) of section 19 of the VAT Act for the year2021-2022/ 2022-2023, after Tax Audit and compliance has not been done before submission of application. () In case any kind of refund under the Acts, is claimed in the appended form, for the relevant year.
3. Submission of Application:- An application shall be submitted separately in Form- A, B, Cor Dappendedto this notification under the Madhya Pradesh VAT Act, 2002, (No. 20 of 2002), Central Sales Tax Act, 1956 (Act No 74 of 1956), Madhya Pradesh Motor Spirit UpkarAdhiniyam, 2018 (No. 11 of 2018) and Madhya Pradesh High Speed Diesel UpkarAdhiniyam, 2018 (No. 12 of 2018).
4. Time limit for submission of the application:An application in the appended forms shall be submitted by the eligible dealer within 60 days from the publication of this notification.
5. Assessing officer: Application shall be submitted to the appropriate Assessing Officer before whom the assessment case for theyear2021-22 / 2022-23 is pending. HYRY o, R 7wl 2024 48 (9) Documents to be enclosed with the application:- (@) A copy of challan in proof of payment of amount of tax and interestif any, paid for relevant year.
(b) Every dealer whose turnover during the year2021-2022 or 2022- 2023exceeds Rs.2 crore shall submit an audit report, if not submitted already, prepared by the Chartered Accountant for Income Tax purpose. (¢) The declaration prescribed for exemption of tax and concessional rate of tax under the Central Sales Tax Act (Form-C/F/E-1/E-2/H/I) shall be enclosed along with thelist. Procedure to be followed under which assessment shall be deemed to have been made:-
(a) If the assessing officer, before whom an application is submitted, finds it incomplete or any error in respect of calculation is detected, he shall provideone opportunity of hearing to the applicant.
(b) If any error as aforesaid is found, a show cause notice shall be issued after recording the reasons thereof and the date of hearing shall be fixed and communicated to the applicant. () The applicant shall rectify the error, if any, and file the documents. After the removal of error the competent officer shall accept the application and thereupon assessment shall be deemed to have been made.
(d) If the dealer remains absent on the date fixed for hearing or the error is not removed, the application shall be rejected and intimation thereof shall be sent to the dealer.
(e) The intimation for acceptance of the application shall be sent within 30 days from the date of application. In case communication within above mentioned period is not given to the dealer, it shall be presumed that his application has been accepted. ® With the appended application form, copy of the Challan as proof of payment of the additional demand shall be attached mandatorily. (g Appropriate instructions for the implementation of the notification may be issued by the Commissioner, Commercial Tax. 48 (10) TRV 19, AP 7 WA 2024 To, FORM-A Application underthe Notification no.------------—-- dated---—--——- for the assessment case of year 2021-2022 / 2022-2023 (whichever is applicable)under Madhya Pradesh VAT Act, 2002 The Assessing Officer, (Assessment Period............... Name and address of Dealer (TIN) Taxpayers Identification No Whether a notice under sub-section(5) of section 18 or sub-section (6) of section 19 was issued for any periodin relation to the relevant year. If "Yes" then attach copy of notice. Yes/No Description and date of compliance of such notice Gross tumover Deductions:- (@) | Cost of freight or delivery or installation separately charged.
(b) | Amount of cash discount
(c) | Amount of sales return within six months.
(d) | Amount of sale of goods declared tax free.
(e) | Sales outside the State/amount of branch transfer.(Attach F form along with list)
(f) | Amount of InterState sales
(g) | Sales in the course of export out of the territory of India.
(h) | Sales to SEZ unit inside the State (with evidence)
(i) | Other deductions (give particulars and evidence) Total deductions (a to i) Taxable Turnover (5-6) Rate wise classification of taxable turnover Rate of tax Taxable Sales Tax payable 33 percent 29 percent 23percent 19 percent 14 percent Total ARG ST, RAF 7 BRad 2024 48 (11)
9. Reversal of Input tax rebate (including evaporation and self used) Rate Purchase amount for Reversal ITR for which reversal done. 33 percent 29 percent 23 percent 19 percent = 14 percent Total
10. Additional tax under Section 9-AA Additional tax per liter Total Sales (in liter) Payable Additional tax Rs. 4.50 Rs. 2.50 Rs. 3.00 Rs. 1.50 Total
11. Reversal of Input tax rebate of Additional tax under Section 9-AA (including evaporation and self used) Rate Purchase for Reversal (in liter) ITR for which reversal done. Rs. 4.50 P Rs. 2.50 Rs. 3.00 Rs. 1.50 Total
12. Total Tax Liabilities Total (8+9+10+11)
13. Calculation of input tax rebate Rate/ Additional tax per liter Purchase amount for input tax rebate / purchase in liter Input tax rebate 33 percent 29 percent 23 percent 19 percent 14 percent Rs. 4.50 Rs. 2.50 Rs. 3.00 Rs. 1.50 48 (12) HEAURY JM19F, RS 7 HRad 2024
14. | a. [ Carry forwarded Input tax rebate for year 2021-2022 | (attach copy of the order) in assessment order/ Appeal order/ Court order for year 2020-2021 (applicable for application given for year 2021-2022). b. | Carry forwarded Input tax rebate for year 2022-2023 in | (attach copy of the order) assessment order/ Appeal order/ Court order for year 2021-2022 (applicable for application given for year 2022-2023).
15. | Total (13+14)
16. | Amount of Input tax rebate adjusted against Central Sales Tax
17. | Amount of Input tax rebate carriedover for the year 2022- 2023 / year 2023-2024
18. | Amount of Input tax rebate adjusted again VAT
(15) - (16+17)
19. | Remaining amount payable (12 - 18)
20. | Amount of interest (if payable) according to section 18(4)(a)
21. | Amount of penalty (if payable) according to section 18(4)(b)
22. | Total amount of tax, interest and penalty payable (19+20+21)
23. | Amount deposited by challan (if deposited previously)
24. | Amount of TDS Certificates (Attach original copies of TDS Certificates, if not submitted earlier.)
25. | Amount of refund adjustment order (RAO No.)
26. | Total amount deposited (23+24+25)
27. | Remaining additional demand (22-26)
28. | Amount deposited at the time of application (Challan number and date in compliance of row no. 27) it - Proprietor/Partner/Director/ Karta (HUF) of -en hereby verify that the above facts are true to the best of my knowledge and belief. Place: Signature Date: Name of Firm -----—-- TG WOF, A 7 wRad 2024 48 (13) To, FORM-B Application under the Notification no. ---------—------- dated for the assessment case of year 2021-2022 / 2022-2023 (whichever is applicable)under Central Sales Tax Act. (Assessment Period............ ) The Assessing Officer, Dealer's name and address TIN(Taxpayers Identification No) Whether a notice under sub-section (5) of section 18 or sub-section (6) of section 19 was Yes/No issued for any period in relation to the relevant year. If "Yes" then attach copy of notice. Description and date of compliance of such notice GrossInterState sales Deductions a | Subsequent sales (attached Form C and E-1/E-2 along with list) b | Other deductions (give details and evidence thereof) Total deductions: Taxable sales (5-6) Rate wise classification of taxable sales Description Sales turnover 1 Sales against 'C' Form declarations (as per list) 2 | Sales without 'C' Form declaration Total taxable turnover Payable tax on taxable turnover Sr. | Description of Goods Taxable | Tax Rate Tax No. Sales Payable Amount of interest (If payable) as per clause (a) of sub-section (4) of section 18 of VAT Act. Amount of penalty (If payable) as per clause (b) of sub-section (4) of section 18 of VAT Act. Total Tax payable, interest thereon and penalty, (10+11+12) Amount of Input tax rebate adjusted against the Central Sales Tax from VAT Act. Amount deposited by challan (if deposited previously) 48 (14) AR T, RAid 7 BRad) 2024 16 | Amount of refund adjustment (RAO no.) 17 | Total (14+15+16) 18 | Remaining additional demand (13-17) 19 | Amount deposited at the time of application (specify challan: number and date) I e Proprietor/Partner/Director/ Karta (HUF) 0f ==mn-rnmrnmmrmmsmrmmmremmmmmm e memmem e e hereby verify that the above facts are true to the best of my knowledge and belief. Place: SIGNAULE =memnommmmemmemmmmnee o mnn menma = Date: Name of Firm =--e-e-eemmnmemsemmmmmmnnenenao. - FORM-C Application under the Notification no. dated for the assessment case of year 2021-2022 / 2022-2023 (whichever is applicable)under Madhya Pradesh Motor Spirit UpkarAdhiniyam, 2018. (Assessment Period. . To, The Assessing Officer,
1. Dealer’s Name:
2. Address:
3. TIN:
4. Gross turnover of sales of Motor Spirit :
5. Turnover of Motor Spirit at the hands of the registered dealer from whom it has been purchased, subject to condition that the selling registered dealer has paid Cess on such sale price.
6. Turnover of Motor Spirit (If not included in Sr. No. 5.) :
(i) Outside the state of Madhya Pradesh
(ii) In the course of interstate trade TR 919, R 7 ) 2024 48 (15)
(iii) In the course of export of the motor sprit out of India
(iv) Made to unit located in a Special Economic Zone notified by the Government under the provisions of the Special Economic Zones Act, 2005 (Central Act No. 28 of 2005)
7. Any Other deduction
8. Taxable turnover of sales of Motor Spirit [(4)-(5+6+7)]
9. Rate at which cess payable.
10. Amount of Cess payable
11. Interest payable
12. Penalty payable
13. Any other Amount payable
14. Total Amount payable [10 + 11 + 12 + 13]
15. Amount paid by challan.
16. Description of challan S. No. Period Challan Number Challan Date Amount Total
17. Amount of refund adjustment order
18. Amount of demand to be paid [14 - (15 + 16 + 17)]
19. Amount deposited at the time of application (Challan number and date in compliance of row no. 18) Proprietor/Partner/Director/ Karta (HUF) of -- hereby verify that the above facts are true to the best of my knowledge and belief. Signature Name 0f Firmn -------s--sesmmmmeannmamesennacs 48 (16) - YR T, e 7 Bra) 2024 FORM-D Application under the Notification no. dated for the assessment case of year 2021-2022 / 2022-2023 (whichever is applicable)under Madhya Pradesh High Speed Diesel UpkarAdhiniyam, 2018. (Assessment Period. . To, The Assessing Officer,
1. Dealer’s Name:
2. Address:
3. TIN:
4. Gross turnover of sales of High Speed Diesel
5. Turnover of High Speed Diesel at the hands of the registered dealer from whom it has been purchased, subject to condition that the selling registered dealer has paid cess of such sale price
6. Turnover of High Speed Diesel (If not included in Sr. No. 5.)
(i) Outside the state of Madhya Pradesh
(ii) In the course of interstate trade
(iii) In the course of export of the High Speed Diesel out of India
(iv) Made to unit located in a Special Economic Zone notified by the Government under the provisions of the Special Economic Zones Act, 2005 (Central Act No. 28 of 2005)
7. Any Other deduction
8. Taxable turnover of sales of High Speed Diesel [(4)-(5+6+7)]
9. Rate at which Cess payable.
10. Amount of Cess payable
11. Interest payable
12. Penalty payable
13. Any other Amount payable
14. Total Amount payable [10 + 11 + 12 +13]
15. Amount paid by challan. YR IS, {31 7 BRas) 2024 48 (17
16. Description of challan S. No. Period Challan Number Challan Date Amount Total
17. Amount of refund adjustment order
18. Amount of demand to be paid [14 - (15+16 +17)]
19. Amount deposited at the time of application (Challan number and date in compliance of row no. 18) I--- Proprietor/Partner/Director/ Karta (HUF) of -- hereby verify that the above facts are true to the best of my knowledge and belief. Place: Signature Date: Name 0f Fitm ==-n-c-esemmeesmmmmemnremnnne By order and in the name of the Governor of Madhya Pradesh, VANDANA SHARMA, Dy. Secy. T, T EUT T oREd AR, WAV ERT WS S gRomerd, W § g qr waie—2024,