VAT DEBIT NOTE

SERIAL NO.: DATE:

To,(Name & Address of seller)
M/s LG Electronics India Pvt Ltd
Address:

District:
From(Name & Address of buyer) State:
TIN No: TIN No:
This is to certify that we have debited your account with value of goods purchased together with
taxes related thereto, on account of goods return, as specified hereunder and that similar
document has not been before in respect of same transaction(s).

Particulars
(Model
nos)& Net Total
Product Purchase Taxable Rate of Purchase
S.NO. name Qty Price Discount Purchase Vat Value

Total
Purchase Bill No. & Date
Challan No & Date (issued by trade partner)
Credit Note No & dt (issue by the seller)

(SEAL) Signature & Status of Authorized Signatory

NOTE: 1. Every debit will have equivalent credit and vice versa 2. Every credit note would bear
corresponding debit note and vice versa 3. Seller and Buyer will exchange credit/debit notes
mutually 4. Time limit as per Rules apply to only sales/purchase returns.