1[FORM-GST-RFD-01 B
[See rules 91(2), 92(1), 92(3), 92(4), 92(5) and 97A]
Refund Order details
| 1. | ARN | |
| 2. | GSTIN / Temporary ID | |
| 3. | Legal Name | |
| 4. | Filing Date | |
| 5. | Reason of Refund | |
| 6. | Financial Year | |
| 7. | Month | |
| 8. | Order No.: | |
| 9. | Order issuance Date: | |
| 10. | Payment Advice No.: | |
| 11. | Payment Advice Date: | |
| 12. | Refund Issued To : | Drop down: Taxpayer / Consumer Welfare Fund |
| 13. | Issued by: | |
| 14. | Remarks: | |
| 15. | Type of Order | Drop Down: RFD- 04/ 06/ 07 (Part A) |
| 16. | Details of Refund Amount (As per the manually issued Order): |
| Description | Integrated Tax | Central Tax | State/UT tax | Cess | ||||||||||||||||||||
| Tax | Interest | Penalty | Fees | Others | Total | Tax | Interest | Penalty | Fees | Others | Total | Tax | Interest | Penalty | Fees | Others | Total | Tax | Interest | Penalty | Fees | Others | Total | |
| a. Refund amount claimed | ||||||||||||||||||||||||
| b. Refund Sanctioned on provisional basis | ||||||||||||||||||||||||
| c.Remaining Amount | ||||||||||||||||||||||||
| d. Refund amount in-admissible | ||||||||||||||||||||||||
| e.Gross amount to be paid | ||||||||||||||||||||||||
| f.Interest (if any) | ||||||||||||||||||||||||
| g.Amount adjusted against outstanding demand under the existing law or under the Act | ||||||||||||||||||||||||
| h.Net amount to be paid | ||||||||||||||||||||||||
| 17. | Attachments (Orders) | RFD-04; RFD- 06; RFD 07 (Part A) | ||||||||||||||||||||||
|
Date: Place: |
Signature (DSC): Name: Designation: Office Address: ”]1 |
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