ANNEXURE IV

ZERO RATED SALE

Import Export Code

INPUT TAX PAID
S. No. Description of Rate of Eligible Credit
Seller's TIN Commodity Code Purchase Value (Rs.) Input tax paid (Rs.)
goods tax (Rs.)
(1) (2) (3) (4) (5) (6) (7) (8)

S. No.
EXPORT
Description of goods Commodity Code Value (Rs.) Details of Bill of lading / Air / Road / Railway Bill No. & Date
(1) (2) (3) (4) (5)

Note: Details of Input Tax Paid need not be filled, if furnished in Annexure I, unless there is change in eligible credit

Place: Chennai Signature:

Name: 0
Date: 0-Jan-1900 Seal Status & relationship to the dealer: Manager - Taxation

B VAT Monthly Return Page 6 Anxr4