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Form L [see rule 7(1)(e)] VALUE ADDED TAX MONTHLY RETURN Return to be filled by the dealer who has

opted to pay tax under section 6 / section 8 TIN 33851522330 Month MILLENIUM ASSOCIATES 04 Year 2009

Name of the Dealer : To

The Assessing Authority, 1 2 3(a) 3(b) Nature of business : Total turnover liable to tax : Tax due at Tax due under Sec. 12 on Rs. Rs . Rs . Total 3(c) 4 5 6 7 Total Adjustment, if any * Tax collected by the dealer ** Tax paid : Payment : Sl No Cheque Type 1 Cheque

T NAGAR (NORTH) Works contract

Circle.

126420 4 % / lumpsum 0 0 0 0 (D) (A) 5057 (D) - (A) 5057 @1% @4% @12.5% 5057 0 0 0 0 5057 0

Cheque No Cheque Date Bank Name 926868 19/05/2009 SOUTH INDIAN BANK

Branch Code 600059013

Amount 5057

* Reasons for adjustment ** for work contract Declaration 1. I/We N.GUNASEKARAN declare that to the best of my/our knowledge and belief the

information furnished in the above statement is true, correct and complete.

2. I/We

declare that to the best of my/our knowledge and belief the

information furnished in the above statement is true, correct and complete. Place : Date : Signature : Name : N.GUNASEKARAN

Status & relationship to the dealer :

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