FORM GST PMT –03

[See rules86 (4) & 87(11))]

Order for re-credit of the amount to cash or credit ledger on rejection of refund claim

Reference No.

Date –

1. GSTIN –

2. Name (Legal) –

3. Trade name, if any

4. Address –

5.Period / Tax Period to which the credit relates, if any –                                From -----To ------

6. Ledger from which debit entry was made for claiming refund-                    cash/ credit ledger

7. Debit entry no. and date -

8. Application reference no. and date –

9. No. and date of order vide which refund was rejected

10. Amount of credit -

Signature

Name

Designation of the officer

Note –

‘Central Tax’ stands for Central Goods and Services Tax; ‘State Tax’ stands for State Goods and Services Tax; ‘UT Tax’ stands for Union territory Goods and Services Tax; ‘Integrated Tax’ stands for Integrated Goods and Services Tax and ‘Cess’ stands for Goods and Services Tax (Compensation to States)