Form_III_(E) Ver 1.7.0 131001 27731005000C 1| Unused 2|Form_III_(E)|Ver 1.7.

0 3|Return-cum-chalan under rule 5 of the Central Sales Tax (Bombay) Rules, 1957. 4|I|C. S. T. R. C. No.|27731005000|C||Separate Return Code|| 5|II Personal Information|Name of Dealer||Eligible For 704|No 6||Address|BLOCK/ FLAT||Name of Premise/Building/Village| 7|||STREET/ ROAD||Area/ Locality | 8|||CITY||District||Pin code| 9|||Location of Sales Tax office having jurisdiction over place of business|01-M azgaon|E_mail id of Dealer|sunny_jinal@yahoo.co.in 10|III|Type of Return (Select appropriate)|Original|Phone No Of Dealer|982048810 4 11| Unused 12||Periodicity of Return(Select appropriate)|Quarterly| 13| Unused 14||Newly registered dealers filling First return. |First Return ( Select , if a pplicable)|No 15||In Case of Cancellation of RC for the period ending with the date of cance llation OR For new PSI dealers for the period ending with the date of EC O R PSI dealers for the period ending with the date of cancellation of EC|La st Return ( Select , if applicable)|No 16|IV|Period Covered by Return|From|Date|Month|Year||To|Date|Month|Year 17||||01|10|13|||31|12|13 18| Unused 19|V|Mode of Incentives if holding Certificate of entitlement under package sche me of incentives ( Please tick whichever is applicable)|Exemption|Deferment 20|||| 21|1|Gross Turnover of Sales |Rs. |3249744 22|A|Less:-Turnover of Sales within the State|Rs. |222159 23|B|Less:-Turnover of interstate sales u/s 6(3)|Rs. | 24|C|Less:-Value of goods returned within six months u/s 8 A(1)(b)|Rs. | 25|D|Less:-Turnover of Sales of Goods outside the State|Rs. | 26|E| Less:-Sales of the goods in the course of export out of India|Rs. |3027 585 27|F|Less:-Sales of the goods in the course of import into India|Rs. | 28|G|Less:-Value of goods transferred u/s 6A (1) of C.S.T. Act 1956|Rs. | 29|H|Less:- Turnover of sales of goods fully exempted from tax under section 8(2 ) read with 8(4) of MVAT ACT 2002|Rs. | 30|2|Balance :-Inter_State sales on which tax is leviable in Maharashtra State ( 1- 1A-1B-1C-1D-1E-1F-1G-1H)|Rs. |0 31|A|Less:-Cost of freight , delivery or installation , if separately charged|Rs . | 32|B|Less:-Turnover of interstate sales on which no tax is payable|Rs. | 33|C|Less:-Turnover of interstate sales u/s 6(2)|Rs. | 34| Unused 35|3|Balance :-Total Taxable interstate sales ( 2- 2A-2B-2C)|Rs. |0 36||A. Less:-Deduction u/s 8A(1)(a) |Rs. | 37|4|Net Taxable interstate sales ( 3- 3A)|Rs. |0 38| Unused 39| Unused 40|A. Sales Taxable U/s. 8 (1) 41|Sr. No.|Rate|Sales Turnover (Rs.)|Tax (Rs.) 42|1|||0 43|2|||0 44|3|||0 45|4|||0

46|5|||0 47|Total|0|0 48| Unused 49| Unused 50|B. Sales Taxable U/s. 8 (2) 51|Sr. No.|Rate|Sales Turnover (Rs.)|Tax (Rs.) 52|1|||0 53|2|||0 54|3|||0 55|4|||0 56|5|||0 57|Total|0|0 58|C. Sales Taxable U/s. 8 (5) 59|Sr. No.|Rate|Sales Turnover (Rs.)|Tax (Rs.) 60|1|||0 61|2|||0 62|3|||0 63|4|||0 64|5|||0 65|Total|0|0 66|5|Tax collected in excess of the tax payable ( 3A - total tax 4( A+B+C) if po sitive|Rs. |0 67|6|Total Amount of C.S.T Payable ( Total tax 4( A+B+C) |Rs. |0 68|7|Amount deferred (out of Box (6)) ( under package scheme of incentives) if a ny|Rs. | 69|8|Balance Amount Payable ( Box (6)- Box (7))|Rs. |0 70|9|(a) Add:- Interest Payable|Rs. | 71||(b) Add:- Amount Payable against excess collection if any, as per Box-5|Rs. |0 72||(c) Add:-Late Fee Payable|Rs. | 73|10|Total Amount Payable ( Box (8)+ Box (9))|Rs. |0 74||Deduct|Rs. | 75|a)|Excess Credit brought forward from previous return|Rs. | 76|b)|Excess MVAT refund to be adjusted against the CST liability. |Rs. | 77|c)|Amount already paid ( if any)( Details to be entered in Box 12( c) )|Rs. | 78|d)|Refund Adjustment order Amount ( Details to be entered in Box 12 (d))|Rs. | 79|11|Balance Amount Refundable / Excess credit ( if amount [10(a)+10(b)+10(c)+1 0(d)] -Amount 10- is positive)|Rs. |0 80|a)|Excess Credit carried forward to subsequent return|Rs. | 81|b)|Excess Credit claimed as refund( amount ( 11- 11(a))|Rs. |0 82|12|Balance Amount payable ( if Amount 10- (10(a)+10(b)+10(c)+10(d))- is posi tive)|Rs. |0 83|a)|Amount paid along with this return cum chalan |Rs. | 84|b)|Balance payable ( amount not paid ) if any |Rs. | 85|c). Details of Amount Already Paid 86|Chalan / CIN No.|Amount (Rs.)|Date of Payment|Bank Name|Branch Name 87||||| 88||||| 89||||| 90||||| 91||||| 92||||| 93||||| 94||||| 95||||| 96||||| 97||||| 98||||| 99|Total|0|||

100|d). Details of RAO 101|RAO No.|Amount Adjusted (Rs.)|Date of RAO 102||| 103||| 104||| 105||| 106||| 107| Unused 108|Total|0| 109|Gap 110|E) The Statement contained in this return in Box 1 to 12 are true to the be st of my knowledge and belief. 111|Date of Filing of Return|Date|16|Month|01|Year|14|Place|MUMBAI 112|Name Of Authorised Person|HITESH SURESH JAIN|REMARKS| 113|Designation|PARTNER|Phone No|9820488104 114|E_mail_id|sunny_jinal@yahoo.co.in|