DUPLICATE FOR TRANSPORTER

TAX INVOICE INVOICE NO : 17-18/000001

DATE OF ISSUE: 26-April-2017

(See rule 7, for a tax invoice referred to in section 31) TIME OF ISSUE :

XYZ Corporation Private Limited GSTIN : 27SDEPM5849N123

12, Motimahal, Andheri Kurla Road, Mumbai, Maharashtra, 400 001

STATE : Maharashtra

RECEIVER (BILL TO) CONSIGNEE (DELIVERED TO)

Name :CUST-001 Name :CUST-001
Billing Address :CUST-001 Delivery Address :CUST-001

###
GSTIN/UNIQUE ID :
GSTIN/UNIQUE ID : 27SDHPM3277N12

Sr. HSN/ Tax SGST CGST IGST TOTAL

Name of Goods or/and Services Supplied UOM QTY. RATE VALUE DISCOUNT
No ACS % VALUE VALUE VALUE VALUE

1 61013020 Gents Overcoat Pattern 2345 (AF Size XL) 5 % Discount Nos. 10 2600 26000 1,300 9% 2,223 2,223 - 29,146

2 61013020 Gents Overcoat Pattern 2345 (AF Size L) 5 % Discount Nos. 10 10 15000 750 9% 1,283 1,283 - 16,816

3 61013020 Gents Overcoat Pattern 2345 (AF Size XXL) 5 % Discount Nos. 20 20 26000 1,300 9% 2,223 2,223 - 29,146

4 61031010 Silk Suits Pattern AB234 ( Size L) 5 % Discount Nos. 15 15 31500 1,575 9% 2,693 2,693 - 35,311

10

TOTAL 55 98,500 4,925 8,422 8,422 - 110,419

Total Amount before tax GST ( SGST / UGST / CGST / IGST ) 93,575
Total Amount Payable inclusive of GST tax ( SGST / UGST / CGST / IGST ) 110,419
Declaration :
1) I/We declare that this invoice shows actual price of the goods and/ or services described and for XYZ Corporation Private Limited
that all particulars are true and correct.
2) Error and Omission in the this invoice shall be subject to the jurisdiction of the < CITY>

Authorised Signatory
Registered Office : 12, Motimahal, Andheri Kurla Road, Mumbai, Maharashtra, 400 001

CIN NO : CIN ABCDEDDDDDDDDD

SUPPLIER DETAILS: STATE PAN Entity C
1. GSTIN 2 7 S D E P M 5 8 4 9 N 1 2 3 27SDEPM5849N123

2. Name XYZ Corporation Private Limited

3. Address of Supplier 12, Motimahal, Andheri Kurla Road, Mumbai, Maharashtra, 400 001
4. Serial No. Prefix of invoice: 17-18/
5. Registered Office (if exist) 12, Motimahal, Andheri Kurla Road, Mumbai, Maharashtra, 400 001
6. CIN No ( If Applicable) CIN ABCDEDDDDDDDDD

RECEIVER DETAILS:
GSTIN OF RECEIVER
Customer Code GSTIN NO
STATE PAN Entity C
CUST-001 2 7 S D H P M 3 2 7 7 N 1 2 27SDHPM3277N12
CUST-002 2 4 A B H P M 8 1 8 6 N 1 2 24ABHPM8186N12
 Name of Customer

Name :CUST-001
Name :CUST-002
 Billing Address of Customer Delivery Address of Customer

Billing Address :CUST-001 Delivery Address :CUST-001

Billing Address :CUST-002 Delivery Address :CUST-002
 GSTIN NO
Contact Name Contact No
(Delivery Address)
Sr.No Product Code HSN NO. Name of Product UOM PRICE
1 6101001 61013020 Gents Overcoat Pattern 2345 (AF Size XL) Nos. 2,600.00
2 6101002 61013020 Gents Overcoat Pattern 2345 (AF Size L) Nos. 1,500.00
3 6101003 61013020 Gents Overcoat Pattern 2345 (AF Size XXL) Nos. 1,300.00
4 6101004 61013020 Gents Overcoat Pattern 18926 (AF Size XL) Nos. 2,700.00
5 6101005 61013020 Gents Overcoat Pattern 18926 (AF Size L) Nos. 4,900.00
6 6101006 61013020 Gents Overcoat Pattern 18926 (AF Size XXL) Nos. 4,300.00
7 6103007 61031010 Silk Suits Pattern AB234 ( Size L) Nos. 2,100.00
8 6103008 61031010 Silk Suits Pattern AB234 ( Size XL) Nos. 3,500.00
9 6103009 61031010 Silk Suits Pattern AB234 ( Size S) Nos. 3,000.00
10 6103010 61031010 Silk Suits Pattern AB236 ( Size L) Nos. 1,000.00
11 6103011 61031020 Cotton Suits Men Pattern M1826 ( Size XL) Nos. 1,200.00
12 6103012 61031020 Cotton Suits Men Pattern M1826 ( Size L) Nos. 3,800.00
13 6103013 61031020 Cotton Suits Men Pattern M1826 ( Size XXL) Nos. 2,500.00
14 6103014 61031020 Cotton Suits Men Pattern M3245 ( Size XL) Nos. 2,000.00
15 6103015 61031020 Cotton Suits Men Pattern M3245 ( Size L) Nos. 4,200.00
16 6103016 61031020 Cotton Suits Men Pattern M3245 ( Size XXL) Nos. 1,100.00
17 6103017 61031020 Cotton Suits Men Pattern M9324 ( Size XL) Nos. 1,800.00
18 6103018 61031020 Cotton Suits Men Pattern M9324 ( Size L) Nos. 2,800.00
19 6103019 61031020 Cotton Suits Men Pattern M9324 ( Size XXL) Nos. 4,000.00
20 6103020 61031020 Cotton Suits Women Pattern W639 ( Size XL) Nos. 1,400.00
21 6103021 61031020 Cotton Suits Women Pattern W639 ( Size L) Nos. 3,100.00
22 6103022 61031020 Cotton Suits Women Pattern W639 ( Size XXL) Nos. 3,800.00
23 6103023 61031020 Cotton Suits Women Pattern W128 ( Size XL) Nos. 2,800.00
24 6103024 61031020 Cotton Suits Women Pattern W128 ( Size L) Nos. 1,200.00
25 6103025 61031020 Cotton Suits Women Pattern W128 ( Size XXL) Nos. 1,700.00
Tax Rate
9%
9%
9%
9%
9%
9%
9%
9%
9%
9%
9%
9%
9%
9%
9%
9%
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9%
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9%
9%
9%
9%
9%
9%
Sr.No Invoice No Line Item Date Customer Code Product Code
1 1 1 26/04/2017 CUST-001 6101001
2 1 2 27/04/2017 CUST-001 6101002
3 1 3 28/04/2017 CUST-001 6101003
4 1 4 29/04/2017 CUST-001 6103007
5 2 1 30/04/2017 CUST-001 6103023
6 2 2 01/05/2017 CUST-001 6101002
7 2 3 02/05/2017 CUST-001 6101004
8 2 4 03/05/2017 CUST-001 6103007
9 3 1 04/05/2017 CUST-001 6101006
10 3 2 05/05/2017 CUST-001 6103024
11 3 3 06/05/2017 CUST-001 6103021
12 3 4 07/05/2017 CUST-001 6101003
13 3 5 08/05/2017 CUST-001 6103011
14 3 6 09/05/2017 CUST-001 6103023
15 4 1 10/05/2017 CUST-002 6101005
16 5 1 11/05/2017 CUST-002 6101003
17 6 1 12/05/2017 CUST-002 6101003
18 7 1 13/05/2017 CUST-002 6103007
19 8 1 14/05/2017 CUST-002 6101003
20 9 1 15/05/2017 CUST-002 6101004
21 10 1 16/05/2017 CUST-002 6101002
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Rate Disc. % Discount Net Price Tax % Quantity
2600 5.00% 130.00 2,470.00 9% 10
1500 5.00% 75.00 1,425.00 9% 10
1300 5.00% 65.00 1,235.00 9% 20
2100 5.00% 105.00 1,995.00 9% 15
2800 5.00% 140.00 2,660.00 9% 10
1500 5.00% 75.00 1,425.00 9% 10
2700 5.00% 135.00 2,565.00 9% 25
2100 5.00% 105.00 1,995.00 9% 10
4300 10.00% 430.00 3,870.00 9% 15
1200 10.00% 120.00 1,080.00 9% 25
3100 10.00% 310.00 2,790.00 9% 40
1300 10.00% 130.00 1,170.00 9% 45
1200 10.00% 120.00 1,080.00 9% 10
2800 10.00% 280.00 2,520.00 9% 25
4900 - 4,900.00 9% 45
1300 - 1,300.00 9% 20
1300 - 1,300.00 9% 15
2100 - 2,100.00 9% 25
1300 - 1,300.00 9% 30
2700 - 2,700.00 9% 15
1500 - 1,500.00 9% 40
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Product Value Discount Value State SGST CGST IGST
26,000.00 1,300.00 27 2,223.00 2,223.00 -
15,000.00 750.00 27 1,283.00 1,283.00 -
26,000.00 1,300.00 27 2,223.00 2,223.00 -
31,500.00 1,575.00 27 2,693.00 2,693.00 -
28,000.00 1,400.00 27 2,394.00 2,394.00 -
15,000.00 750.00 27 1,283.00 1,283.00 -
67,500.00 3,375.00 27 5,771.00 5,771.00 -
21,000.00 1,050.00 27 1,796.00 1,796.00 -
64,500.00 6,450.00 27 5,225.00 5,225.00 -
30,000.00 3,000.00 27 2,430.00 2,430.00 -
124,000.00 12,400.00 27 10,044.00 10,044.00 -
58,500.00 5,850.00 27 4,739.00 4,739.00 -
12,000.00 1,200.00 27 972.00 972.00 -
70,000.00 7,000.00 27 5,670.00 5,670.00 -
220,500.00 - 24 - - 19,845.00
26,000.00 - 24 - - 2,340.00
19,500.00 - 24 - - 1,755.00
52,500.00 - 24 - - 4,725.00
39,000.00 - 24 - - 3,510.00
40,500.00 - 24 - - 3,645.00
60,000.00 - 24 - - 5,400.00
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Total Value on Invoice
29,146.00
16,816.00
29,146.00
35,311.00
31,388.00
16,816.00
75,667.00
23,542.00
68,500.00
31,860.00
131,688.00
62,128.00
12,744.00
74,340.00
240,345.00
28,340.00
21,255.00
57,225.00
42,510.00
44,145.00
65,400.00
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 INVOICING

Instructions
ONE TIME MASTER INFORMATION
1 Fill Master Info " Supplier Detail" with your own company/firm specific information.
2 Fill Master Info " Receiver Detail" with details of your customer's specific information.
3 Fill Product Master with your own code, HSN code , UOM, Rate per unit and tax rate.

TRANSACTION LEVEL INFORMATION

4 General Rule - Yellow shaded portion to be keyed in, blue is drop down and unshaded are based on formula.
5 Invoice No. is the serial no. of invoice and Line no. is the line no. against that particular invoice no.

Tax Invoice
Enter the invoice numeber on top.
Select the print copy and you are ready for the print.

(Presently this is under development stage, in case you find it helpful. Drop me a mai at prakash@pmishra.in for cu
at a later date once more things are cleared)
d are based on formula.
ar invoice no.

at prakash@pmishra.in for customised format