FORM RD 1 Form of return under Rule 4

FORM RD 1
Form of return under Rule 4(1) of the Rural Development Cess Rules 1996.

The Deputy Commercial Tax Officer,
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I_______________________________________________________________________Son/Daughter of _________________________________________________on behalf of the dealer carrying business known as____________________________________________________________________________ (dealer name/firm name) furnish herewith the statement of the total quantity of purchases of goods during the month of ________________________________ and ending on ____________________________ and give the following connected particulars:

1.Registration Certificate No. CST :

APGST :

2.Address of the Dealer :

3. Particulars of Payment of Cess

(a) Total cess Payable :

(b) Deduct :

Adjustment of refund of cess

(c)Net cess Payable :

(d)Total cess paid :

(i) Cheques/DD particulars

Number : Date :

Bank : Branch :

(ii) Cash (Receipt No.) :

If paid

Receipt No : Date :

(iii) Challan Particulars :

Number : Date :

Name of Treasury:

(iv)Balance cess payable if any (c-d):

I/We_______________________________________________________________________ Son/Daughter/Wife of ___________________________________________________ declare to the best of my/our knowledge and behalf, the information furnished in the above statement is true and complete.

           Place :
           Date   :                                                  Signature ____________________________________
                                                                           Status and relationship to the dealer____________________________

Commodity Description	Total Quantum of purchases of goods	Exempted quantum of purchases if any	Net quantum of purchases of goods	Rate of Cess	Cess
(1)	(2)	(3)	(4)	(5)	(6)