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FORM GST PMT-04

Application for intimation of discrepancy in Electronic Credit Ledger/Cash Ledger/ Liability Register

FORM GST PMT –04

[See rules85 (7), 86(6) & 87(12)]

Application for intimation of discrepancy in Electronic Credit Ledger/Cash Ledger/ Liability Register

1. GSTIN  
2. Name (Legal)  
3. Trade name, if any  
4. Ledger / Register in which discrepancy noticed   Credit ledger                 Cash                 ledger Liability register
5. Details of the discrepancy
Date Type of tax Type of discrepancy Amount involved
  Central Tax    
  State Tax    
  UT Tax    
  Integrated Tax    
  Cess    
6. Reasons, if any
 
7.

Verification

I hereby solemnly affirm and declare that the information given herein above is true and

correct to the best of my knowledge and belief.

Signature

Name of Authorized Signatory

Designation /Status………………

Place 

Date  

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)