VAT 201 Return ‫ إﻗﺮار ﴐﻳﺒﺔ اﻟﻘﻴﻤﺔ اﳌﻀﺎﻓﺔ‬- 230005564760

Taxpayer Information
‫ﻣﻌﻠﻮﻣﺎت داﻓﻌﻲ اﻟﴬاﺋﺐ‬
VAT Return Period
TRN
100211307200003 ‫ﻓﱰة اﻹﻗﺮار اﻟﴬﻳﺒﻲ ﻟﴬﻳﺒﺔ اﻟﻘﻴﻤﺔ‬ 01/04/2023 - 30/06/2023
‫رﻗﻢ ﺗﺴﺠﻴﻞ اﻟﴬﻳﺒﺔ‬
‫اﳌﻀﺎﻓﺔ‬

Legal Name of
Cool Tech Air Conditioning VAT Stagger Stagger 3 – Quarterly (Apr
Entity(English)
System ‫اﻟﻔﱰة اﻟﴬﻳﺒﻴﺔ ﻟﴬﻳﺒﺔ اﻟﻘﻴﻤﺔ اﳌﻀﺎﻓﺔ‬ to Mar)
‫اﻻﺳﻢ اﻟﻘﺎﻧﻮﻲﻧ ﻟﻠﻜﻴﺎن ﺑﺎﻟﻠﻐﺔ اﻹﻧﺠﻠﻴﺰﻳﺔ‬
Legal Name of Entity VAT Return Due Date
(Arabic) ‫ﺗﺎرﻳﺦ اﺳﺘﺤﻘﺎق إﻗﺮار ﴐﻳﺒﺔ اﻟﻘﻴﻤﺔ ﻛﻮل ﺗﻴﻚ ﻷﻧﻈﻤﺔ اﻟﺘﻜﻴﻴﻒ‬ 28/07/2023
‫اﻻﺳﻢ اﻟﻘﺎﻧﻮﻲﻧ ﻟﻠﻜﻴﺎن ﺑﺎﻟﻠﻐﺔ اﻟﻌﺮﺑﻴﺔ‬ ‫اﳌﻀﺎﻓﺔ‬
Al Awadhi Offices Tower, Hamad
Address Bin abdulla Road, Fujairah, Tax Year End
31/03/2024
‫ﻋﻨﻮان‬ Fujairah, 2810, Fujairah, ‫ﻧﻬﺎﻳﺔ اﻟﺴﻨﺔ اﻟﴬﻳﺒﻴﺔ‬
+971507730528
VAT on Sales and All Other outputs
‫ﴐﻳﺒﺔ اﻟﻘﻴﻤﺔ اﳌﻀﺎﻓﺔ ﻋﲆ اﳌﺒﻴﻌﺎت وﺟﻤﻴﻊ اﳌﺨﺮﺟﺎت اﻷﺧﺮى‬
VAT Amount
Amount Adjustment
Description (AED)
(AED) (AED)
‫وﺻﻒ‬ ‫ﻗﻴﻤﺔ ﴐﻳﺒﺔ اﻟﻘﻴﻤﺔ اﳌﻀﺎﻓﺔ‬
(‫اﳌﺒﻠﻎ )درﻫﻢ‬ (‫ﺗﺴﻮﻳﺔ )درﻫﻢ‬
(‫)درﻫﻢ‬

1a Standard Rated Supplies in Abu Dhabi

0.00 0.00 0.00
‫أ اﻟﺘﻮرﻳﺪات اﻟﺨﺎﺿﻌﺔ ﻟﻠﻨﺴﺒﺔ اﻷﺳﺎﺳﻴﺔ ﰲ أﺑﻮ ﻇﺒﻲ‬

1b Standard Rated Supplies in Dubai

0.00 0.00 0.00
‫ب اﻟﺘﻮرﻳﺪات اﻟﺨﺎﺿﻌﺔ ﻟﻠﻨﺴﺒﺔ اﻷﺳﺎﺳﻴﺔ ﰲ دﻲﺑ‬
1c Standard Rated Supplies in Sharjah
0.00 0.00 0.00
‫ج اﻟﺘﻮرﻳﺪات اﻟﺨﺎﺿﻌﺔ ﻟﻠﻨﺴﺒﺔ اﻷﺳﺎﺳﻴﺔ ﰲ اﻟﺸﺎرﻗﺔ‬
1d Standard Rated Supplies in Ajman
0.00 0.00 0.00
‫د اﻟﺘﻮرﻳﺪات اﻟﺨﺎﺿﻌﺔ ﻟﻠﻨﺴﺒﺔ اﻷﺳﺎﺳﻴﺔ ﰲ ﻋﺠﺎﻤن‬

www.tax.gov.ae @uaetax

Federal Authority | ‫ﻫﻴﺌﺔ اﺗﺤﺎدﻳﺔ‬

This is a system generated document and does not need to be signed. The Taxpayer is solely responsible for the usage of this document. FTA cannot be held liable for
any damage caused to the Taxpayer or recipient of this document.
.‫ ﻻ ﻤﻳﻜﻦ أن ﺗﻜﻮن اﻟﻬﻴﺌﺔ اﻻﺗﺤﺎدﻳﺔ ﻟﻠﴬاﺋﺐ ﻣﺴﺆوﻟﺔ ﻋﻦ أي ﴐر ﻳﻠﺤﻖ ﺑﺪاﻓﻌﻲ اﻟﴬاﺋﺐ أو ﻣﺘﻠﻘﻲ ﻫﺬه اﻟﻮﺛﻴﻘﺔ‬.‫ داﻓﻊ اﻟﴬاﺋﺐ ﻫﻮ اﳌﺴﺆول اﻟﻮﺣﻴﺪ ﻋﻦ اﺳﺘﺨﺪام ﻫﺬه اﻟﻮﺛﻴﻘﺔ‬.‫ﻫﺬه وﺛﻴﻘﺔ ﺗﻢ إﻧﺸﺎؤﻫﺎ ﺑﻮاﺳﻄﺔ اﻟﻨﻈﺎم وﻻ ﺗﺤﺘﺎج إﱃ اﻟﺘﻮﻗﻴﻊ‬
 1e Standard Rated Supplies in Umm Al Quwain
0.00 0.00 0.00
‫ه اﻟﺘﻮرﻳﺪات اﻟﺨﺎﺿﻌﺔ ﻟﻠﻨﺴﺒﺔ اﻷﺳﺎﺳﻴﺔ ﰲ أم اﻟﻘﻴﻮﻳﻦ‬

1f Standard Rated Supplies in Ras Al Khaimah

0.00 0.00 0.00
‫و اﻟﺘﻮرﻳﺪات اﻟﺨﺎﺿﻌﺔ ﻟﻠﻨﺴﺒﺔ اﻷﺳﺎﺳﻴﺔ ﰲ رأس اﻟﺨﻴﻤﺔ‬
1g Standard Rated Supplies in Fujairah
12,500.00 625.00 0.00
‫ز اﻟﺘﻮرﻳﺪات اﻟﺨﺎﺿﻌﺔ ﻟﻠﻨﺴﺒﺔ اﻷﺳﺎﺳﻴﺔ ﰲ اﻟﻔﺠﺮﻴة‬
2 Tax Refunds provided to Tourists under the Tax
Refunds for Tourists Scheme 0.00 0.00
‫اﳌﺒﺎﻟﻎ اﻟﺘﻲ ﺗﻢ ردﻫﺎ ﻟﻠﺴﻴﺎح ﺑﻨﺎء ﻋﲆ ﻧﻈﺎم رد اﻟﴬﻳﺒﺔ ﻟﻠﺴﻴﺎح‬

3 Supplies subject to the reverse charge provisions

0.00 0.00
‫ﺗﺨﻀﻊ اﻟﺘﻮرﻳﺪات ﻷﺣﻜﺎم اﻻﺣﺘﺴﺎب اﻟﻌﻜﴘ‬

4 Zero Rated Supplies

0.00
‫ﺗﻮرﻳﺪات ﺧﺎﺿﻌﺔ ﻟﻠﻨﺴﺒﺔ اﻟﺼﻔﺮﻳﺔ‬
5 Exempt Supplies
0.00
‫اﻟﺘﻮرﻳﺪات اﳌﻌﻔﺎة‬
6 Goods imported into the UAE
0.00 0.00
‫اﻟﺒﻀﺎﺋﻊ اﻟﻮاردة إﱃ اﻟﺪوﻟﺔ‬
7 Adjustments to goods imported into the UAE
0.00 0.00
‫ﺗﺴﻮﻳﺔ ﻋﲆ اﻟﺒﻀﺎﺋﻊ اﳌﺴﺘﻮردة إﱃ دوﻟﺔ اﻹﻣﺎرات اﻟﻌﺮﺑﻴﺔ اﳌﺘﺤﺪة‬
8 Totals
12,500.00 625.00 0.00
‫اﳌﺠﻤﻮع‬
VAT on Expenses and All Other Inputs
‫ﴐﻳﺒﺔ اﻟﻘﻴﻤﺔ اﳌﻀﺎﻓﺔ ﻋﲆ اﳌﺒﻴﻌﺎت وﺟﻤﻴﻊ اﳌﺨﺮﺟﺎت اﻷﺧﺮى‬
VAT Amount
Amount Adjustment
Description (AED)
(AED) (AED)
‫وﺻﻒ‬ ‫ﻗﻴﻤﺔ ﴐﻳﺒﺔ اﻟﻘﻴﻤﺔ اﳌﻀﺎﻓﺔ‬
(‫اﳌﺒﻠﻎ )درﻫﻢ‬ (‫ﺗﺴﻮﻳﺔ )درﻫﻢ‬
(‫)درﻫﻢ‬
9 Standard Rated Expenses
57,498.76 2,874.94 0.00
‫اﻟﻨﻔﻘﺎت اﻟﺨﺎﺿﻌﺔ ﻟﻠﻨﺴﺒﺔ اﻷﺳﺎﺳﻴﺔ‬
10 Supplies subject to the reverse charge provisions
0.00 0.00
‫ﺗﺨﻀﻊ اﻟﺘﻮرﻳﺪات ﻷﺣﻜﺎم اﻻﺣﺘﺴﺎب اﻟﻌﻜﴘ‬
11 Totals
57,498.76 2,874.94 0.00
‫اﳌﺠﻤﻮع‬

www.tax.gov.ae @uaetax

Federal Authority | ‫ﻫﻴﺌﺔ اﺗﺤﺎدﻳﺔ‬

This is a system generated document and does not need to be signed. The Taxpayer is solely responsible for the usage of this document. FTA cannot be held liable for
any damage caused to the Taxpayer or recipient of this document.
.‫ ﻻ ﻤﻳﻜﻦ أن ﺗﻜﻮن اﻟﻬﻴﺌﺔ اﻻﺗﺤﺎدﻳﺔ ﻟﻠﴬاﺋﺐ ﻣﺴﺆوﻟﺔ ﻋﻦ أي ﴐر ﻳﻠﺤﻖ ﺑﺪاﻓﻌﻲ اﻟﴬاﺋﺐ أو ﻣﺘﻠﻘﻲ ﻫﺬه اﻟﻮﺛﻴﻘﺔ‬.‫ داﻓﻊ اﻟﴬاﺋﺐ ﻫﻮ اﳌﺴﺆول اﻟﻮﺣﻴﺪ ﻋﻦ اﺳﺘﺨﺪام ﻫﺬه اﻟﻮﺛﻴﻘﺔ‬.‫ﻫﺬه وﺛﻴﻘﺔ ﺗﻢ إﻧﺸﺎؤﻫﺎ ﺑﻮاﺳﻄﺔ اﻟﻨﻈﺎم وﻻ ﺗﺤﺘﺎج إﱃ اﻟﺘﻮﻗﻴﻊ‬
 Amount
Net VAT Due
(AED)
‫ﺻﺎﰲ ﴐﻳﺒﺔ اﻟﻘﻴﻤﺔ اﳌﻀﺎﻓﺔ اﳌﺴﺘﺤﻘﺔ‬
(‫اﳌﺒﻠﻎ )درﻫﻢ‬
12 Total Value of due tax for the period
625.00
(‫إﺟﺎﻤﱄ ﻗﻴﻤﺔ اﻟﴬﻳﺒﺔ اﳌﺴﺘﺤﻘﺔ ﻋﻦ اﻟﻔﱰة )درﻫﻢ‬
13 Total Value of recoverable tax for the period
2,874.94
(‫إﺟﺎﻤﱄ ﻗﻴﻤﺔ اﻟﴬﻳﺒﺔ اﻟﻘﺎﺑﻠﺔ ﻟﻼﺳﱰداد ﻟﻠﻔﱰة )درﻫﻢ‬
14 Payable tax for the period
-2,249.94
(‫اﻟﴬﻳﺒﺔ اﳌﺴﺘﺤﻘﺔ اﻟﺪﻓﻊ ﻋﻦ اﻟﻔﱰة )درﻫﻢ‬
Do you wish to request a refund for the above amount of excess recoverable tax ?
‫ﻫﻞ ﺗﺮﻏﺐ ﰲ ﻃﻠﺐ اﺳﱰداد اﳌﺒﻠﻎ اﳌﺬﻛﻮر أﻋﻼه ﻣﻦ اﻟﴬﻳﺒﺔ اﻟﺰاﺋﺪة اﻟﻘﺎﺑﻠﺔ ﻟﻼﺳﱰداد؟‬
Yes

Profit Margin Scheme

‫ﻫﺎﻣﺶ اﻟﺮﺑﺢ‬
Did you apply the profit margin scheme in respect of any supplies made during the tax period?
‫ﻫﻞ ﻗﻤﺖ ﺑﺘﻄﺒﻴﻖ ﻧﻈﺎم ﻫﺎﻣﺶ اﻟﺮﺑﺢ ﻓﻴﺎﻤ ﻳﺘﻌﻠﻖ ﺑﺄي ﺗﻮرﻳﺪات ﺗﻢ إﺟﺮاؤﻫﺎ ﺧﻼل اﻟﻔﱰة اﻟﴬﻳﺒﻴﺔ؟‬
Yes

Authorised Signatory
‫اﳌﻔﻮﺿﻦﻴ ﺑﺎﻟﺘﻮﻗﻴﻊ‬
Name in English Name in Arabic
‫اﻻﺳﻢ ﺑﺎﻻﻧﺠﻠﻴﺰﻳﺔ‬ ‫اﻻﺳﻢ ﺑﺎﻟﻌﺮﻲﺑ‬
Mobile Country Code Mobile Number
‫رﻣﺰ اﻟﺪوﻟﺔ‬ ‫رﻗﻢ اﻟﻬﺎﺗﻒ‬
Date of Submission Email Address
27/07/2023
‫ﺗﺎرﻳﺦ اﻟﺘﻘﺪﻳﻢ‬ ‫اﻟﱪﻳﺪ اﻹﻟﻜﱰوﻲﻧ‬

Date and time when this document was generated

12/11/2023 11:00:15
‫اﻟﺘﺎرﻳﺦ واﻟﻮﻗﺖ اﻟﺬي ﺗﻢ ﻓﻴﻪ إﻧﺸﺎء ﻫﺬا اﳌﺴﺘﻨﺪ‬

www.tax.gov.ae @uaetax

Federal Authority | ‫ﻫﻴﺌﺔ اﺗﺤﺎدﻳﺔ‬

This is a system generated document and does not need to be signed. The Taxpayer is solely responsible for the usage of this document. FTA cannot be held liable for
any damage caused to the Taxpayer or recipient of this document.
.‫ ﻻ ﻤﻳﻜﻦ أن ﺗﻜﻮن اﻟﻬﻴﺌﺔ اﻻﺗﺤﺎدﻳﺔ ﻟﻠﴬاﺋﺐ ﻣﺴﺆوﻟﺔ ﻋﻦ أي ﴐر ﻳﻠﺤﻖ ﺑﺪاﻓﻌﻲ اﻟﴬاﺋﺐ أو ﻣﺘﻠﻘﻲ ﻫﺬه اﻟﻮﺛﻴﻘﺔ‬.‫ داﻓﻊ اﻟﴬاﺋﺐ ﻫﻮ اﳌﺴﺆول اﻟﻮﺣﻴﺪ ﻋﻦ اﺳﺘﺨﺪام ﻫﺬه اﻟﻮﺛﻴﻘﺔ‬.‫ﻫﺬه وﺛﻴﻘﺔ ﺗﻢ إﻧﺸﺎؤﻫﺎ ﺑﻮاﺳﻄﺔ اﻟﻨﻈﺎم وﻻ ﺗﺤﺘﺎج إﱃ اﻟﺘﻮﻗﻴﻊ‬