RBHraCaNacRkkm<Ca

TRmg;
Gtb 200
Form VAT 200

Cati sasna RBHmhakSRt

sRmab;mnIBndar For Tax Official

fTI
Ex
qaM
DD
MM
YY
elxcUl N ........
htelxa
0

GKnaykdanBndar
nksYgesdkic nig hirBavt

lixitRbkasGakrelItmbEnm
Return for Value Added Tax

Signature

eQaHmnIBndar

..........................

Tax official Name

sUmGanesovePACMnYysartIelx 03 munnwgbMeBjTRmg;enH .
Read VAT leaflet No. 03 before completing this form.

kariybriecTsareBIBnsRmab;lixitRbkasenH Period covered by this return

BIfTI.................Ex....................qaM>>>>>>>>>>>>>>>>>>>>>>>
dl;fTI ................ Ex......................qaM.........................
02

From (DD)

From (DD) Month (MM) Year (YYYY)

Month (MM)

elxGtsBaaNkmsareBIBn

01

TIN

Year (YYYY)

eQaHshRKas Name of Enterprise

..............................................................................................................................................................................................
skmPaBGaCIvkm Business Activities .................................................................................................................................................................................................................
Gasydan Address: No...................................vifI Street..................................................... Rkum Group................. PUmi Village.............................................................
XMu/sgat; Sangkat................................................. Rkug/Rsuk/xN District .............................................ext/raCFanI Municipality...................................................
TUrsBTUrsar Fax/Phone ...................................................... sareGLicRtUnik E-mail ........................................................................................................................
RbsinebIelak/elakRsIKanskmPaBTijblk;eT sUmsresrfa :Kan : kgRbGb;enH
03

04

If you have made no purchases and no sales, fill " NIL " in this box.

RbsinebIKanTinnyGVIRtUvbMeBjkgRbGb;NamYyeT sUmsresrfa : Kan : kMuTukRbGb;ecalTMenr elIkElgEtelak/elakRsIsresrfa : Kan : kgRbGb;elx

If you have no entry for a box, fill " NIL ". Do not leave any box blank unless you fill " NIL " in box 04.

\NTanGakrelIFatucUlBIExmun

04

05

Input tax credit from previous month.

karTijTMnijbesvakgEx ( FatucUl ) Month's purchases of goods and services ( Input) tmminrYmbBalGakr Value exclusive of VAT
karTijminCab;GakrbkarTijEdlminGnuBaat\NTan Non-taxable or non-creditable purchases 06
karTijkgRsuktamGRtaFmta 10% Standard rated local purchases
07
08
karnaMcUltamGRtaFmta 10% Standard rated imports
09
10
srubTwkR)ak;GakrelIFatucUl Total amount of input tax ( 05+08+10 ) 11
karlk;TMnijnigesvabkarnaMecjkgEx ( Fatuecj ) Month's sales of goods and services or exports ( Output ) tmminrYmbBalGakr Value exclusive of VAT
karlk;minCab;Gakr Non-taxable sales
12
karlk;tamGRta 0% Exports
13
karlk;tamGRtaFmta 10% Standard rated sales
14
15
RbsinebIcMnYnkgRbGb;elx 15 elIsBIcMnYnkgRbGb;elx 11 RtUvbg;cMnYnlemg If box 15 exceeds box 11, pay the difference
16
RbsinebIcMnYnkgRbGb;elx 11 elIsBIcMnYnkgRbGb;elx 15 RtUvesIsMucMnYnlemgedIm,I If box 11 exceeds box 15, claim the difference for :
Ca\NTansRmab;eyageTAmux Credit carried forward 18
bgiVlsg Refund
17
eyIg)anBinitRKb;cMNucTaMgGs;enAelIlixitRbkasenH nigtarag]bsm<nPab;mkCamYy . eyIgmanskIbRtbBaak;c,as;las; RtwmRtUv eBjelj EdlFana)anfa Btman
TaMgGs;enAelIlixitRbkasenH BitCaRtwmRtUvR)akdEmn ehIyKanRbtibtikarNamYymin)anRbkasenaHeT . eyIgsUmTTYlxusRtUvTaMgRsugcMeBaHmuxc,ab;TaMgLayCaFrman
RbsinebIBtmanNamYymankarEkgbnM . We have examined all items on this return and the annexes attached here with. We have clear, correct, and full supporting
documents to ensure that all information on this return is true and accurate and there is no business operation undeclared. We are fully responsible due to the existing
Laws for any falsified information.

sRmab;mnIBndar For Tax Official

EbbbTnkarbg;R)ak; sac;R)ak; mUlb,TanbRt bEgVr
cMnYnTwkR)ak;>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>
bg;tambgan;delx>>>>>>>>>>>>>>>>>>>>>>>>>cuHfTI>>>>>>>>/>>>>>>>>/>>>>>>>>>
lr>ln KNenykm>>>>>>>>>>>>>>>>>>>>>>>>>feFVI>>>>>>>>/>>>>>>>>/>>>>>>>>>
RbePTTinanub,vtiCMnYy>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>
eQaHmnIBndar>>>>>>>>>>>>>>>>>>>>>>>>>>>htelxa>>>>>>>>>>>>>>>>>>>>>>>>>>

kMNt;smal;

eFVIenA ............................................fTI !__!__! Ex !__!__! qaM !__!__!__!__!

Filed in

DD

MM

YYYY

GPi)albNaFikarkmsiTikr shRKas
Director/Manager/Owner of Enterprise
Signature & Seal)
(

htelxa nigRta

Please note :

1.elak /elakRsIRtUvdak;lixitRbkasenHRBmTMagbg;R)ak;Gakrya:gyWtbMputRtwmfTI 20 nExbnab;BIExEdlcuHkgRbGb;elx 2.

This return and payment must be presented by the 20th day of the month following the month of box 02.
2.elak /elakRsI nwgTTYlrgkarpakBiny eTAtamc,ab;sIBIsareBIBn RbsinebIelak /elakRsI You will be, according to the Law on Taxation, subject to penalties if you :

min)andak;lixitRbkasenArd)alsareBIBn eTaHbICaKanR)ak;GakrRtUvbg;k_eday Fail to file the

minbg;bbg;yWtya:v nUvR)ak;GakrEdl)anRbkas Do not pay or pay the tax declared late.
- eFVIkarRbkasEkgbnM Making a false declaration.
-

tax return to the Tax Administration even it is a nil return.

segbRbtibtikar TijEdlGnuBaat\NTan nigkarlk;Cab;Gakr RbcaMEx *

SUMMARY OF CREDITABLE PURCHASES AND TAXABLE SALES FOR THE MONTH

20

lr
No

karnaMcUlbkarTij TMnijbesvaEdl)anesIsMu\NTan GOODS OR SERVICES IMPORTED OR PURCHASED ON WHICH A CREDIT IS CLAIMED

briyaymuxTMnijbesva
brimaN
kalbriecTTij
elxvikybRtRbtievTn_Ky
tmminrYmbBalGakr
Gkpt;pg;
Description of Goods or
Services

Quantity

Date of purchase

Invoice / Customs Declaration number

Suppliers

Value exclusive of VAT

srub Total
*sUmKUsrgVg;CuMvijelxerogmuxTMnijNaEdl)anTijbnaMcUledIm,IeRbIR)as;CaRTBskmrbs;shRKas
Please circle any serial No of the items purchased or imported for the enterprises fixed assets.

21

lr
No

srubkarnaMecjRbcaMEx Edl)anesIsMuGRtasUn GOODS OR SERVICES EXPORTED ON WHICH ZERO RATE IS CLAIMED

briyayBImuxTMnijbesva

brimaN

kalbriecTnaMecj

elxRbtievTn_Ky

RcknaMecj

tmnaMecj

Description of Goods or
Services

Quantity

Date of Export

Customs Declaration number

Exit Point

Export Value

srub
22

lr
No

Total

karpt;pg;TMnij besvakgRsuktamGRtaFmta GOODS OR SERVICES LOCALLY SUPPLIED AT STANDARD RATE

TMnij GOODS
esva SERVICES
briyaymuxTMnij
brimaN
tmminrYmbBalGakr
briyay
vikybRtBIelxdl;elx
tmminrYmbBalGakr
Description of Goods

srub

Quantity

Value exclusive of VAT

Total

kMNt;smal; RbsinebIsresrminGs; sUmPab;CamYykgRkdasedayELk .

Notes : Use separate sheets if the space is insufficient.

Invoice from No to No

Description

srub

Total

Value exclusive of VAT