FORM GST DRC -02 [See rule 142(1)(b)]

Reference No:

Date:

To

_______________ GSTIN/ID

———————– Name

_______________ Address

Tax Period :                                     F.Y. :

Section /sub-section under which statement is being issued :

SCN Ref. No. ——-     Date – Statement

Ref. No. —-        Date –

Summary of Statement :

(a) Brief facts of the case :

(b) Grounds :

(c) Tax and other dues :

                                                                                (Amount in Rs.)

 

1 Substituted vide Notf no. 79/2020-CT dt 15.10.2020

Signature

Name

Designation

Jurisdiction

Address

 

Note –

1.  Only applicable fields may be filled up.

2.  Column nos. 2, 3, 4 and 5 of the above Table i.e. tax rate, turnover and tax period are not mandatory.

3. Place of Supply (POS) details shall be required only if the demand is created under the IGST Act.]2

 

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