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66. Form GST ITC-04

66. Form GST ITC-04

29-2017 AP RATE
64-22-2017 Rate
71-Notification No. 32-2017 – State Tax (Rate)

Form GST ITC-04

[See rule – 45(3)]

Details of goods/capital goods sent to job worker and received back

  1. GSTIN –
  2. (a) Legal name –

(b) Trade name, if any –

  • Period:                  Quarter –                                  Year –
  • Details of inputs/capital goods sent for job-work
GSTIN                      / State in case of unregistered job-workerChallan no.Challan dateDescription of goodsUQCQuantityTaxable valueType of goods (Inputs/capital goods)Rate of tax (%)
Central taxState/ UT taxIntegrated taxCess
123456789101112
            
  • Details of inputs/capital goods received back from job worker or sent out from business place of job-work
GSTIN / State of job worker if unregisteredReceived back/sent out to another job worker/ supplied from premises of job workerOriginal challan No.Original challan dateChallan details if sent to another job workerInvoice details in case supplied from premises of job workerDescriptionUQCQuantityTaxable value
No.DateGSTIN/ State if job worker unregisteredNo.Date
12345678910111213
             
  • Verification

I hereby solemnly affirm and declare that the information given herein above is true and correct to the best of my knowledge and belief and nothing has been concealed therefrom.

Signature

Place                                                                                                      Name of Authorised Signatory ….……………………

Date                                                                                            Designation /Status……………………………………