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 -
Sr. No. | Act (Central Tax/State Tax/ UT Tax Integrated Tax/ CESS) | Amount of credit (Rs.) | |||||
Tax | Interest | Penalty | Fee | Other | Total | ||
1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 |
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)