FORM - XXIII Department of Commercial Taxes, Government of Uttar Pradesh

FORM - XXIII

Department of Commercial Taxes, Government of Uttar Pradesh

(See rule 42 of the UPGST Rules, 2008)

AUDIT REPORT BY SPECIFIED AUTHORITY

PART - II

Note:-

1-       Please do not attach any document with this part of the report

2-       Points for verification are indicative and are not exhaustive. Additional information, if any, may please be given in the comments/remarks column'

3-       No column of the report is to be left blank. If information asked for is not relevant, please state "Not applicable"

4-       Hard copy of the report prepared on computer would be acceptable, provided the report is in prescribed format.

Section A: General information

1.

Assessment year

2

0

-

2

0

2.

Period for the audit

D

D

M

M

Y

Y

Ending on

D

D

M

M

Y

Y

3.

Name / Address of the dealer

-

4-

Taxpayer's Identification Number [TIN]

Entitlement Certificate under section 42 of UPGST

Registration Certificate no. issued  under Service Tax Act

Any other registration number in any other Act if any

5-	Principal Place of Business, Depot / Branches / Go downs/ Manufacturing places in and outside UP:-
	Particulars	Address
a-	Principal place of business
b-	Branch/go-down/depot
	i-
	ii-
	iii-
	iv-

6.	Name & addresses of Partner/s, Proprietor, Director/s,  Karta , Trustee/s, Principal officer/s etc.
	Name and Address	Status	From	To
	(i)
	(ii)
	(iii)
	(iv)
	(v)

7.	Details of Bank Accounts
S.N.	Name & address of the branch	Nature of A/c	Account No.
I
II
III

Section B:-Business related information:

1-	Nature of Business (Tick the appropriate Box/Boxes)
	Wholesale □ Retail □ Manufacturing / Processing □ Import □ Commission agency □ Works contract □ Transfer of right to use any goods □ Hire  purchase □ Export □ Any other
2-	Constitution of dealer(Tick the appropriate Box/Boxes)
	Proprietorship □ Partnership □ HUF □ Company □ Society □ State or Central Govt. Corporation □ Club □ Association □ Any other

3- Name of the commodities  related to the business
SI.no.	class of goods	specific name of the goods

4-	Business activity in the brief

5-

Opted for Composition under section 6 of UPGST(tick only)

Reseller

Civil Contractor

electrical Contractor

any other

Section C: - Information related to form of declaration or certificate issued by Department of commercial Tax during the period of verification:-

1-	Detail of Forms-
SI. No.	Name of Form	Opening Balance	Received	Used		Lost/ Destroyed	Forms Surrendered	Closing Balance
		No.	No.	No.	Amount Covered	No.	No.	No.
1	2	3	4	5(a)	5(b)	6	7	8
i	XXI
ii	XXXI
iii	XXXVIII
iv	C
v	F
vi	H
vii	EI
viii	EII
ix	I

2-	Details of certificate D countersigned by assessing authority during the period under verification
Opening Balance	Number of certificate countersigned during A.Y.	Certificate issued during A.Y.	Closing balance of certificate	Commodity wise purchase against certificate
				Name of The Commodity	measure /quantity	No. of Forms Used	Amount Covered
1	2	3	4	5(a)	5(b)	5(c)	5(d)

3-	Amount covered by different forms for exemption or reduction in the rate of tax
	particular	number of the declaration or certificate	amount covered
1	2	3	4
1-	Sale within UP against certificate D
2-	Sale against form C
3-	Sale or stock transfer against form F
4-	Sale against form H
5-	Sale against form EI and C
6-	Sale against form EII and C
7-	Sale against declaration  I
8-	Sale against certificate J
9-	Any other certificate

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