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Safe International Return November - 2021
Safe International Return November - 2021
Safe International Return November - 2021
Goods/Service Not Admissible for Credit (Taxpayers who sell ONLY Local Purchase 21 Sub-form
Exempted / Specific VAT and Goods/Service Other than Standard
Rate/Credits not taken within stipulated time) Import 22 542,946.60 Sub-form
Total Input Tax Credit 23 542,946.60 -
Page 1 of 11
Part-6: DECREASING ADJUSTMENTS (VAT)
Adjustment Details Note VAT Amount
Due to VAT Deducted at Source from the supplies delivered 29 Sub-form
Advance Tax Paid at Import Stage 30 27,147.33 Sub-form
Issuance of Credit Note 31
Any Other Adjustments (please specify below)
32
Part-11: REFUND
I am interested to get refund of my Closing Balance Items Note Yes No
Requested Amount for Refund (VAT) 67
Requested Amount for Refund (SD) 68
Part-12: DECLARATION
I hereby declare that all information provided in this Return Form are complete, true & accurate. In case of any untrue/incomplete statement, I may be subjected to
penal action under The Value Added Tax and Supplementary Duty Act, 2012 or any other applicable Act prevailing at present.
Page 2 of 11
Sub Form (For Note No-1,2,3,4,5,6,7,10,11,12,13,14,15,16,17,19,20,21 and 22 )
SL No Commercial description of Good/Service Goods/Service Code Goods/Service Name Value (a) SD(b) VAT(c) Notes
1 Filter Paer Uncoated 4805.40.00 Filter Paer Uncoated 118184.56 17727.68 Import Purchase
2 Synthetic Fiber Media 5603.14.00 Synthetic Fiber Media 424761.96 63714.29 Import Purchase
Sub Form (For Note No- 6 and 18 )
Actual
SL No Good/Service Commercial description Goods/Service Code Goods/Service Name Unit of Measures (a) Quantity (b) Sales/Purachase SD(d) VAT(e) Notes
Value(c)
Sub Form (For Note No- 8 )
SL No Category Good/Service Commercial description Goods/Service Code Goods/Service Name Value (a) SD(b) VAT(c) Notes
1 Commercial Importer/Other Traders Filter Paper Uncoated, Synthetic Fiber Media Filter Paper Uncoated, Synthetic Fiber Media 727548.44 36377.42 Sale Of 5%
2 Petroleum Products
3 Super-shop
4 Medicine related Products 727548.44 36377.42
Sub-form (For Note-24 )
VAT
VAT Deduction Tax Tax
Deduction Tax deposit serial
Invoice No/Challan/Bill No- Invoice/Challan/Bill at source, deposit deposit
SL No Supplier's BIN Supplier's Name Supplier's Address Value Deducted VAT at source, number of Book Notes
etc.) Date Certificate Account date
Certificate transfer
No Code
date
1
Sub-form (For Note-29 )
VAT
VAT Deduction Tax Tax
Deduction Tax deposit serial
Invoice No/Challan/Bill No- Invoice/Challan/Bill at source, deposit deposit
SL No Buyer's BIN Buyer's Name Buyer's Address Value Deducted VAT at source, number of Book Notes
etc.) Date Certificate Account date
Certificate transfer
No Code
date
Sub-form (For Note-30 )
SL No Bill of Entry Number Date Customs House/Customs Station Advance Tax amount Notes
27147.33
Sub-form (For Note-58,59,60,61,62,63 and 64 )
SL No Treasury Challan Number Bank Branch Date Tax Deposit Account Code Amount Notes
1 T- Sonali Bank 11133.0010.0311 9231 VAT
9231