1. Local Body Tax Department
[Form E-II (see Rule 29 (2) (B)]
Form of Annual return
to
1
2
( )
3
(a)
(b)
(c)
(d)
4 Total ( )
5
(a)
(b)
(c)
(d)
(e)
6 ( )
7 ( )
8
Rate of LBT
applicable
Value of goods
liable for LBT
Amount of LBT
payable
3 4 5
9
(a)
(b)
10 ( )
11 ( )
12 ( )
13 ( )
14 ( )
15
Rate of LBT
applicable
Value of goods
liable for LBT
Amount of LBT
payable
3 4 5
Deduct : Value of goods in rupees
calculation of Local Body Tax payable on goods in Part II :
Details of goods imported for export u/s 32
1 2
Received back on account of return/rejection within six months
2
Commodity Imported Goods covered by Schedule Entry
By Import
Period
1
By Transfer
Part - I
By Local Purchase
Details of receipt of goods (by purchases, by transfers, and by return of goods/rejection)
Exempt U/s 152 Q
Exempt U/r 28
Purchased from Local Registered Dealer
Turnover of all Sales (Including value of goods sent outside the city on consignment basis)
Total ( )
Value of goods received for consumption, use or sale
Received by transfer within the city
Goods covered by Schedule
Entry
Part - III
calculation of Local Body Tax leviable on the value of goods shown in 12
Opening Stock of goods imported for export as on
Value of goods imported for export u/r 32 during the year
Commodity
Imported
Refund admissible in respect of the goods exported within six months (column
11)
Local Body Tax number
Name
Address
( )
Value of goods liable for Local Body Tax (4-6)
Total of (a) to (e)
Part - II
By return of goods/rejection
Balance value of goods which are not exported and in respect of which the
period of six months is not over
Value of goods not exported within Six months and on which Local body tax is
payable
Total of (a) and (b)
Value of goods exported within Six months
Telephone
Mobile
Dealer's
as on1st April
2. 16
(a)
( )
(b) value of goods processing on job work basis during the year ( )
17 ( )
18 ( )
19 (a) ( )
(b) ( )
20 ( )
21 ( )
22
Rate of LBT
applicable
Value of goods
liable for LBT
Amount of LBT
payable
3 4 5
23 (a) ( )
(b) ( )
24 ( )
25 (a) ( )
(b) ( )
26 ( )
27 ( )
28
Rate of LBT
applicable
Value of goods
processed and
imported
Local Body
Tax payable
Corresponding
value of goods
sent for
processing
Local Body Tax
paid on the
value
Balance to be paid
2 3 4 5 6 7
29 ( )
(Details of goods imported for processing on job work basis under sub rule (4) rule 28 )
Value of goods exported for processing and not received back within six months
out of column 24.
Total ( )
Part VI
Goods imported by
Schedule entry
Value opening stock of goods exported for processing out of the city and
not imported as on 1st April
Value of goods exported u/r 32 (within six months)
1
Part - IV
Total ( )
Value addition i.e. processing charges, transport, and other incidental
charges etc. in respect of goods duly processed and re-imported out of the
city within six months.
Value of goods exported for Processing out of the city and imported duly processed [see sub
(3) of rule 3 of rule 28]
1 2
Computation of local Body tax payable in respect of Column 25 (b)
Total
Commodity Imported
value of goods processed but not exported within six months
value of goods not processed and not exported within six months
total of (a) and (b)
Total of 23 (a) and (b)
Value(excluding processing and other charges etc.) of goods exported for
processing and re-imported after being duly processed, within six months
Value of goods exported out of the city for processing during the year
Part V
balance value of goods which are not processed/processed and not exported
and in respect of which the period of six months is not over
Claim for refund of Local Body tax u/r 32 (exported)
Total of 19 (a) and (b) on which Local Body Tax is payable
Computation of local Body tax payable on goods imported but not exported within six months
as shown in Column 20
value of goods processed and exported within six months
Goods covered by Schedule Entry
Value of Opening Stock of goods imported and remained unprocessed as
on 1st april
Value of goods exported for processing and where the period of six months is
not over
3. 30
Goods
covered by
Schedule entry
Rate of LBT
applicable
Value of goods
exported in Rs.
Corresponding
purchase value
on which LBT
paid. To be
estimated if not
available in Rs.
LBT paid in Rs.
Refund 90% of the
Amount paid earlier in
Rs.
Local body Tax payable
31
(a) ( )
(b) ( )
(c) ( )
(d) ( )
32 ( )
33
(a)
(b)
34
35
(a) ( )
(b) ( )
(c) ( )
(d) ( )
(e) ( )
36 ( )
37
38
The above statements is true to best of my knowledge and belief.
Part VII
Local Body Tax payable as per:
Place
Total
Tax
Dated
Designation
(in figures)
Received the amount of rupees (in words)
For Official Use
Amount paid with this return cum challan
(In words) ( )
Deduct :
Amount of Refund as per Item 30
Cashier/Accountants
Place
Date
Total
Net amount of Tax payable/refundable (strike out whichever is Not applicable)
Total
Computation of refund in respect of column 29
Commodity
NameDate
Fees
Penalty
Security Deposit
Interest
Item 08
Item 015
Item 22
Item 28
Total
Amount paid vide challan No.
(In figures) ( )
of Bank Branch
Bank A/c. No.
Signature
DatedAmount paid in cash / by cheque No.