GSTR - 04A, Integrated Tax (GST-FORMS)

1. GSTIN 2. (a) Legal name of the registered person Auto Populated (b) Trade name, if any Auto Populated 3. Inward supplies received from registered person including supplies attracting reverse charge GSTIN of supplier Invoice details Rate Taxable value Amount of tax Place of supply (Name of State/UT) No. Date Value Integrated Tax Central Tax State/UT Tax Cess 1 2 3 4 5 6 7 8 9 10 11 3A. Inward supplies received from a registered supplier (other than supplies attracting reverse charge) 3B. Inward supplies received from a registered supplier (attracting reverse charge) 4. Debit notes/credit notes (including amendments thereof) received during current period Details of original document Revised details of document or details of original Debit / Credit Note Rate Taxable value Amount of tax Place of supply (Name of State/UT) GSTIN No. Date GSTIN No. Date Value Integrated Tax Central Tax State/UT Tax Cess 1 2 3 4 5 6 7 8 9 10 11 12 13 14 5. TDS Credit received GSTIN of deductor Gross value Amount of tax Central Tax State/UT Tax