U. P. TRADE TAX RULES, 1948
FORM IV
[See Rule 41]
Return of turnover of sales and purchases

for the quarter ending------------------------------------month of-----------------------------------------------
1. Name of dealer---------------------------------------------------------------------------------------------------
     -----------------------------------------------------------------------------------------------------------------------
2. Registration Certificate no.-----------------------------------------------------------------------------------
3. Name and status (Proprietor, Partner,Director, etc.) of the person submitting the return
     -----------------------------------------------------------------------------------------------------------------------
4. Principal place of business in U.P.-------------------------------------------------------------------------
5. Branches in U.P.

  1. ---------------------------------------------
  2. ---------------------------------------------
  3. ---------------------------------------------
  4. ---------------------------------------------

6. Class of goods dealt in at the principal place of business and at the branches

  1. --------------------------------------
  2. --------------------------------------
  3. --------------------------------------
  4. --------------------------------------
7. SalesPurchases of goods taxable under Section 3-AAAA or Section 3-E or Section 3-D
  (a)  Totalturnover            Rs.--------------------------------
  (b)  Exempted turnover   Rs.-------------------------------
  (c)  Taxable turnover      Rs.--------------------------------
Rs.------------------------------------------
Rs.------------------------------------------
Rs.------------------------------------------
(Details in Annexures I and II)
8. Tax payable (as per details in Annexures I and II) Rs.-------------------------------------------------
9. Total amount of tax realised from the customers Rs.-------------------------------------------------
10. Tax deposited in treasury/paidby cheque or bank draft/paid by book transfer  
   Amount Rs.----------------------------------------------
   Challan/Cheque/Bank Draft no.___________________________________________
   Dated ___________

DECLARATION

        I, -------------------------------------------being the---------------------(Status, ie. Proprietor, Partner, director, etc.) of the business known as ------------------------------------------------------------------- ------------------------------------------------------do hereby declare and verify that, to the best of my knowlede and belief, all the statements and figures given in this return are true and complete and nothing has been willfully omitted or wrongly stated.

Sinature---------------------------------------------
Status------------------------------------------------

Name and address of the dealer--------------------------
---------------------------------------------------------------------
U.P. Registration Certificate no.--------------------------------------------------
_______________________________________________________________________________________________

Notes -(1) Figures or turnover in various columns should be rounded off to the nearest rupee.
             (2) Column 2 of Annexures I and II need not be filled in by dealers other than those referred to in rule 41(1).