Form GST ITC -03 (Declaration for intimation of ITC reversal/payment of tax on inputs held in stock, inputs contained in semi-finished and finished goods held in stock and capital goods)

Form GST ITC -03

[See rule 44(4)]

Declaration for intimation of ITC reversal/payment of tax on inputs held in stock, inputs contained in semi-finished and finished goods held in stock and capital goods under sub-section (4) of section 18

 

1. GSTIN
2.  Legal name
3. Trade name, if any
4(a). Details of application filed to opt for composition scheme [ applicable only for section 18 (4)]	(i) Application reference number (ARN)
	(ii) Date of filing
4(b). Date from which exemption is effective [ applicable only for section 18 (4)]

 

 

5. Details of stock of inputs held in stock, inputs contained in semi-finished or finished goods held in stock, and capital goods on which input tax credit is required to be paid under section 18(4).

 

Sr. No.	GSTIN/ Registration under CX/ VAT of supplier	*Invoice /Bill of entry		Description of inputs held in stock, inputs contained in semi- finished or finished goods held in stock and capital goods		Unit Quantity Code (UQC)	Qty	Value** (As adjusted by debit note/credit note)	Amount of ITC claimed (Rs.)
		No.	Date						Central Tax	State Tax	UT Tax	Integrated Tax	Cess
1	2	3	4	5		6	7	8	9	10	11	12	13
5 (a) Inputs held in stock (where invoice is available)
5 (b) Inputs contained in semi-finished and finished goods held in stock (where invoice available)

 

 

5 (c) Capital goods held in stock (where invoice available)

5 (d) Inputs held in stock and as contained in semi-finished /finished goods held in stock ( where invoice not available)

5 (e) Capital goods held in stock (where invoice not available)

 

• (1) In case, it is not feasible to identify invoice, the principle of first in first out may be

(2)  If Invoice is not available for certain inputs or capital goods, the value shall be estimated based on prevailing market price

** The value of capital goods shall be the invoice value reduced by five percentage points per quarter of a year or part thereof from the date of invoice

 

6. Amount of ITC payable and paid (based on table 5)

 

Sr. No.	Description	Tax payable	Paid through Cash/ Credit Ledger	Debit entry no.	Amount of ITC paid standard
					Central Tax	State Tax	UT Tax	Integrated Tax	Cess
1	2	3	4	5	6	7	8	9	10
1.	Central Tax		Cash Ledger
			Credit Ledger
2.	State Tax		Cash Ledger
			Credit Ledger
3.	UT Tax		Cash Ledger
			Credit Ledger
4.	Integrated Tax		Cash Ledger
			Credit Ledger
5.	CESS		Cash Ledger
			Credit Ledger

 

 

7. Verification

 

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

 

Signature of authorised signatory                                                                     

Name

Designation/Status Date – dd/mm/yyyy

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