SOCIALIST REPUBLIC OF VIETNAM

Independence Freedom Happiness

----------------------------------

RETURN OF VALUE-ADDED TAX (VAT)

(Intended for VAT payer using tax deduction system)
[01] Taxable Period: January 2014
[02] First time
[03] ___time of supplement
[04] Tax payer
:
[05] Tax code
:
[06] Address
:
[07] District
:
[09] Telephone No. :

Form No.: 01/GTGT

(Attached to the Circular No.
156/2013/TT-BTC issued on
06 November 2013 by the
Ministry of Finance)

DAI NAM INVESTMENT TRADING SERVICE CO., LTD.

0
3 0 5 1 0 4 0 9 9
76 Cach Mang Thang Tam, Ward 6
3
[08] City/ Province: Ho Chi Minh
/
[10] Fax: /
[11] Email: /
Tax extension
Case of tax extension: /
Currency Unit: Vietnamese dong
Value of goods and
No.
DESPCRIPTION
VAT
services (without VAT)
A No activities in the period (cross X) [21]
/
/
B Deductible VAT carried forward from the previous period
[22]
571,647,703
C Declaration of VAT payable to the National Budget
I Goods and services (G&S) purchased in the period
1 Value and VAT of purchased G&S
[23]
359,668,108 [24]
35,793,265
2 Total of deductible VAT of the period
[25]
35,793,265
II Goods and services sold in the period
1 G&S sold in the period not subject to VAT
[26]
/
/
G&S sold in the period subject to VAT
2
[27]
1,798,302,723 [28]
179,830,285
([27] = [29] + [30] + [32]; [28] = [31] + [33])
a G&S sold in the period subject to 0% tax rate
[29]
/
b G&S sold in the period subject to 5% tax rate
[30]
/
[31]
/
c G&S sold in the period subject to 10% tax rate
[32]
1,798,302,723 [33]
179,830,285
Total turnover and VAT of G&S sold
3
[34]
1,798,302,723 [35]
179,830,285
([34] = [26] + [27]; [35] = [28])
III Incurred VAT in the period ([36] = [35] [25])
[36]
144,037,020
IV Adjustment of the VAT of goods and services sold from previous periods
1 Decreasing adjustment
[37]
/
2 Increasing adjustment
[38]
/
Total of paid VAT of the turnover from interprovincial and non-resident
V
[39]
/
construction, installation and real estate
VI Determination of VAT liability in the period
VAT payable of business activities in the period
1
[40a]
/
([40a] = [36] [22] + [37] [38] [39] > 0)
VAT purchased from investment projects (within the province or city
[40b
2 under the central government) which is deducted from payable VAT of
/
]
business activities of the same taxable period
3 VAT payable in the period ([40] = [40a] - [40b])
[40]
/
Outstanding deductible VAT in this period
4
[41]
427,610,683
(in case ([41] = [36] [22] + [37] [38] [39] < 0)
4.1 VAT refund requested for this period
[42]
/
4.2 Deductible VAT carried forward to next period ([43] = [41] - [42])
[43]
427,610,683
I undertake that the declared information above is true and accurate, and that I shall be fully responsible
for such figures and information.
TAX AGENCY STAFF
20 February 2014
Full name: /
TAX PAYER OR LEGAL REPRESENTATIVE OF THE TAX PAYER
Practice Certificate No.: /
(Signed and sealed), Lau Duc Duy
Entered in the accounts from the list of the National Budget:
Entering Item [40] into Sub-section 1701
Page 1/82
Signed by: DAI NAM INVESTMENT TRADING SERVICE CO., LTD.
Signed on: 20 February 2014 [10:58:41] (Asia/Bangkok)