Revised FSC Claim Tax Invoice Format (Other Than 'A' Class City)

TAX INVOICE
FREE SERVICE COUPON CLAIMS FOR OTHER THAN "A" CLASS CITY
DEALER / ASC CODE :
DS-232
DEALER / ASC NAME :
Sangam Auto Agencies
ADDRESS
G-7, patel nagar 3rd
INVOICE NUMBER :-
Dealer / ASC Code
ghaziabad
TIN No.
DATE :-
FSC Year (YYYY)
10/2/2013
FSC Month (MM)
9988900449
SALES TAX No. /
Jan-13
MONTH :-
:-
SERVICE TAX No. :-
aaahn7091NST110
TO : MAHINDRA TWO WHEELERS LIMITED

SERVICE COUPON NUMBER
SR.
NO.
1st
MODEL
No. of
coupons
RODEO
Rate per
coupon
70.00
2nd
Amount
0.00
No. of
coupons
Rate per
coupon
70.00
3rd
No. of
coupons
0.00
Paid
Coupon
75.00
150.00
75.00
75.00
60.00
120.00
Paid
Coupon
75.00
0.00
DURO
70.00
140.00
70.00
420.00
FLYTE
70.00
70.00
70.00
280.00
Paid
Coupon
70.00
0.00
KINE
60.00
120.00
Paid
Coupon
STALLIO
70.00
#VALUE!
DURO DZ
70.00
350.00
70.00
350.00
rz
70.00
420.00
70.00
140.00
#VALUE!
17
TOTAL
16
1190.00
75.00
Amount
375.00
No. of
coupons
75.00
Rate per
coupon
5th
Amount
Paid
Coupon
Rate per
coupon
4th
75.00
Amount
75.00
75.00
0.00
75.00
675.00
No. of
coupons
75.00
495.00
13
Rate per
coupon
6th
TOTAL
8th
No. of
coupons
Rate per
coupon
Amount
No. of
coupons
Rate per
coupon
Amount
No. of
coupons
Rate per
coupon
Amount
No. of
coupons
Amount
150.00
Paid
Coupon
75.00
300.00
75.00
75.00
600.00
75.00
300.00
Paid
Coupon
75.00
375.00
75.00
225.00
22
1610.00
75.00
75.00
Paid
Coupon
75.00
0.00
75.00
150.00
650.00
60.00
60.00
Paid
Coupon
300.00
75.00
0.00
75.00
0.00
75.00
Paid
Coupon
75.00
75.00
75.00
75.00
975.00
7th
Amount
75.00
75.00
0.00
Paid
Coupon
75.00
0.00
#VALUE!
26
1900.00
75.00
660.00
11
75.00
675.00
450.00
78
#VALUE!
SERVICE TAX @ 12% (on Total Amount)
#VALUE!
EDU. CESS @ 2% (on Service Tax)
#VALUE!
For Dealer / ASC
SHE. CESS @ 1% (on Service Tax)
#VALUE!
Stamp & Signature ..
TOTAL INVOICE AMOUNT

(Total + S.T. + E.Cess + S.Cess)
#VALUE!
Rupees in word :-
.........
(NAME & STATUS)
P.S. :-
Invoice Number Format :
Dealer / ASC Code
FSC Year (YYYY)
FSC Month (MM)
The highlighted columns are for Paid Coupons. They should not be filled.
For Example :- DA999201110

Revised FSC Claim Tax Invoice Format (Other Than 'A' Class City)

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Revised FSC Claim Tax Invoice Format (Other Than 'A' Class City)

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Droits d'auteur :

Formats disponibles

TAX INVOICE

DEALER / ASC NAME :

Sangam Auto Agencies

G-7, patel nagar 3rd

Dealer / ASC Code

FSC Year (YYYY)

FSC Month (MM)

SALES TAX No. /

SERVICE TAX No. :-

TO : MAHINDRA TWO WHEELERS LIMITED

SERVICE TAX @ 12% (on Total Amount)

EDU. CESS @ 2% (on Service Tax)

For Dealer / ASC

SHE. CESS @ 1% (on Service Tax)

Stamp & Signature ..

TOTAL INVOICE AMOUNT

(NAME & STATUS)

Invoice Number Format :

Dealer / ASC Code

FSC Year (YYYY)

FSC Month (MM)

For Example :- DA999201110

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