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FORM GST PMT-03

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

                                                                                                  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)