GOVERNMENT OF THE PEOPLE'S REPUBLIC OF BANGLADESH
Mushak-9.1
NATIONAL BOARD OF REVENUE
VALUE ADDED TAX RETURN FORM
[Rule 47(1)]
SECTION - 1: TAXPAYER'S INFORMATION
1. BIN : 123456789
2. Name of Taxpayer : VAT Learning Mission (DTCL)
3. Address of Taxpayer :
4. Nature of Business : Proprietorship
5. Economic Activity : Retail/Wholesale, Trading
SECTION - 2: RETURN SUBMISSION DATA
1. Tax Period : Oct / 2022
2. Type of Return A) Main/Original Return (Section 64)
[Please select your desired option]
: B) Late Return (section 65)
C) Amend Return (section 66)
D) Full or Additional or Alternative Return ( Section 67)
3. Any activities in this Tax Period? Yes No
[If Selected “No” Please Fill Only the :
relevant Part] [If Selected “No” Please Fill Only Section I, II & X]
4. Date of Submission
: 03-Oct-2022
SECTION - 3: SUPPLY - OUTPUT TAX
Nature of Supply Note Value (a) SD (b) VAT (c)
Zero Rated Goods/Service Direct Export 1 Sub form
Deemed Export 2 Sub form
Exempted Goods/Service 3 Sub form
Standard Rated Goods/Service 4 159,270.30 0.00 23,890.55 Sub form
Goods Based on MRP 5 Sub form
Goods/Service Based on Specific VAT 6 Sub form
Goods/Service Other than Standard Rate 7 Sub form
Retail/Whole Sale/Trade Based Supply 8 0.00 0.00 0.00 Sub form
Total Sales Value &Total Payble Taxes 9 159,270.30 0.00 23,890.55
SECTION - 4: PURCHASE - INPUT TAX
1) If all the products/services you supply are standard rated, fill up note 10-20.
2) All the products/services you supply are not standard rated or input tax credit not taken within stipulated time period under section 46, fill up note 21-22.
3) If the products/services you supply consist of both standard rated and non-standard rated, then fill up note 10-20 for the raw materials that were used to produce/supply
standard rated goods/services and fill up note 21-22 for the raw materials that were used to produce/supply non-standard rated goods/services and show the value
proportionately in note 10-22 as applicable.
Nature of Purchase Note Value (a) VAT(b)
Sub form
Local Purchase 10 0.00
Zero Rated Goods/Service
Import 11 Sub form
0.00
Local Purchase 12 0.00 Sub form
Exempted Goods/Service
Import Sub form
13 0.00
Local Purchase 14 3,717,678.34 557,651.75 Sub form
Standard Rated Goods/Service
Import 15 0.00 0.00 Sub form
Local Purchase 16 0.00 0.00 Sub form
Goods/Service Other than Standard Rate
Import 17 0.00 0.00 Sub form
Goods/Service Based on Specific VAT Local Purchase 18 0.00 Sub form
0.00
From Turnover Tax Units 19 0.00 0.00 Sub form
Goods/Service Not Admissible for Credit
(Local Purchase) From Unregistered Entities 20 Sub form
0.00 0.00
Goods/Service Not Admissible for Credit (Taxpayers 0.00 Sub form
who sell only Exempted/ Specific VAT and
Local Purchase 21 0.00
Goods/Service Other than Standard Rate/
Credits not taken Import 22 0.00 Sub form
0.00
Total Input Tax Credit 23 3,717,678.34 557,651.75
SECTION - 5: INCREASING ADJUSTMENTS (VAT)
Adjustment Details Note VAT Amount
Due to VAT Deducted at Source by the supply 0.00 Sub from
24
Payment Not Made Through Banking Channel 0.00 Sub from
25
Issuance of Debit Note 26 Sub from
Any Other Adjustments (please specify below) 27
Sub from
VAT on House Rent
Total Increasing Adjustment 28 0.00
SECTION - 6: DECREASING ADJUSTMENTS (VAT)
Adjustment Details Note VAT Amount
Due to VAT Deducted at Source from the supplies delivered 29 0.00 Sub from
Advance Tax Paid at Import Stage 30 Sub from
Issuance of Credit Note 31 0.00 Sub from
Any Other Adjustments (please specify below) 32
0.00 Sub from
Total Decreasing Adjustment 33 0.00
SECTION - 7: NET TAX CALCULATION
Items Note Amount
Net Payable VAT for the Tax Period (Section- 45) ( 9C-23B+28-33) 34 (533,761.20)
Net Payable VAT for the Tax Period after Adjustment with Closing Balance and balance of form 18.6 [34-(52+56)]
35 (1,979,177.91)
Net Payable Supplementary Duty for the Tax Period (Before adjustment with Closing Balance) [9B+38-(39+40)] 36 0.00
Net Payable Supplementary Duty for the Tax Period after Adjusted with Closing Balance and balance of form 18.6 37
[36-(53+57)] 0.00
Supplementary Duty Against Issuance of Debit Note 38 0.00
Supplementary Duty Against Issuance of Credit Note 39 0.00
Supplementary Duty Paid on Inputs Against Exports 40 0.00
Interest on Overdue VAT (Based on note 35) 41 0.00
Interest on Overdue SD (Based on note 37) 42 0.00
Fine/Penalty for Non-submission of Return 43 0.00
Other Fine/Penalty/Interest 44 0.00
Payable Excise Duty 45 0.00
Payable Development Surcharge 46 0.00
Payable ICT Development Surcharge 47 0.00
Payable Health Care Surcharge 48 0.00
Payable Environmental Protection Surcharge 49 0.00
Net payable VAT for treasury deposit ( 35+41+43+44) 50 (1,979,177.91)
Net payable SD for treasury deposit ( 37+42) 51 0.00
Closing Balance of Last Tax Period (VAT) 52 1,445,416.71
Closing Balance of Last Tax Period (SD) 53 0.00
SECTION - 8: ADJUSTMENT FOR OLD ACCOUNT CURRENT BALANCE
Items Note Amount
Remaining Balance (VAT) from Mushak-18.6,[ Rule 118(5)] 54 0.00
Remaining Balance (SD) from Mushak-18.6,[ Rule 118(5)] 55 0.00
Decreasing Adjustment for Note 54 (up to 30% of Note 34) 56 0.00
Decreasing Adjustment for Note 55 (up to 30% of Note 36) 57 0.00
SECTION - 9: ACCOUNTS CODE WISE PAYMENT SCHEDULE (TREASURY DEPOSIT)
Items Note Account Code Amount
VAT Deposit for the Current 58 1/1133/0030/0311 0.00 Sub form
SD Deposit for the Current Tax Period 59 1/1133/0018/ 0711-0721 0.00 Sub form
Excise Duty 60 1/1133/Acv‡ikbvj †KvW/0311 0.00 Sub form
Development Surcharge 61 1/1133/Acv‡ikbvj 0.00 Sub form
†KvW/0711-0721
ICT Development Surcharge 62 1/1103/Acv‡ikbvj †KvW/1901 0.00 Sub form
Health Care Surcharge 63 1/1133/Acv‡ikbvj †KvW/0601 0.00 Sub form
Environmental Protection Surcharge 64 1/1103/Acv‡ikbvj †KvW/2225 0.00 Sub form
SECTION - 10: ACCOUNTS CODE WISE PAYMENT SCHEDULE (TREASURY DEPOSIT)
Items Note Amount
Closing Balance (VAT) [58 - (50 + 67) + The refund amount not approved] 65 1,979,177.91
Closing Balance (SD) [59 - (51 + 68) + The refund amount not approved] 66 0.00
SECTION - 11:REFUND
Items Note
I am interested to get refund of my Closing Yes No
Balance
Requested Amount for Refund 67 0.00
(VAT)
Requested Amount for Refund 0.00
68
(SD)
SECTION - 12: DECLARATION
I hereby declare that all information provided in this Return Form are complete, true & accurate. In case of any
untrue/incomplete statement, I may be subjected to penal action under The Value Added Tax and Supplementary
Duty Act, 2012 or any other applicable Act prevailing at present.
Name : Hasanuzzaman
Designation :
Mobile Number :
National ID/Passport Number :
Email :
Signature [Not required for electronic submission] :
