To Tax Administration (department) по_____________________________________________________ _________________________________________________________ of INN _______________________

(full name of the taxpayer)

Date of the registration notice of the payer of the VAT "_____" ____________________ 200 _____ year

Number ____________________________

Address ________________________________________________________ of Bodies No. __________________

DECLARATION
about the value added tax

for ___________ month 200 ___ years

№

Indicators

Code

Turnover (excluding VAT)

VAT rate, %

VAT amount

According to the taxpayer

By results of cameral check

According to the taxpayer

By results of cameral check

1

2

3

4

5

6

7

8

1

Transactions, liable to VAT

300

2

The transactions exempted from the VAT

301

X

X

X

3

Transactions, liable to VAT on zero (0) to rate

302

X

X

X

4

In total on transactions: (p. 1+ of p. 2+ of p. 3)

303

X

5

It is paid via bank transfer on the purchased goods (works, services) in invoices and other documents replacing them

304

5.1

Are not subject to offsetting

305

X

X

X