Balance Sheet
Form – VAT-11B
( See Rule 28(3)(a) )
Period from
01/04/
to
31/03/
Circle:
Please fill in Capital letters where applicable and sign the declaration.
Date:__/__/20__
Part A – Dealer Information
1 Dealer Name
2. Taxpayer Identification Number
Part B – Balance Sheet
Part C – Declaration
I, solemnly declare that to the best of my knowledge and belief, the information given in the return is correct and complete
and that the particulars shown herein are truly stated and are in accordance with the provisions of the VAT Act. (This
return should be signed by an authorized person)
Name of Person
Place
Seal and Signature
Date