FORM GST DRC – 04

[See rule 142(2)]

Reference No:                                                                                                                                       Date:

To

_______________ GSTIN/ID

———————– Name

_______________ Address

Tax Period ————-                                                        F.Y. ———-

ARN –                                                                          Date –

Acknowledgement of acceptance of payment made voluntarily

The payment made by you vide application referred to above is hereby acknowledged to the extent of the amount paid and for the reason stated therein.

 

Signature

Name

Designation

Copy to –

 

– 05

[See rule 142(3)]

Reference No:                                                                                                                                     Date

To

_______________ GSTIN/ID

———————– Name

_______________ Address

Tax Period ————-                                          F.Y. ———-

SCN –                                                                         Date –

ARN –                                                                         Date –

Intimation of conclusion of proceedings

This has reference to the show cause notice referred to above. As you have paid the amount of tax and other dues mentioned in the notice along with applicable interest and penalty in accordance with the provision of section —- , the proceedings initiated vide the said notice are hereby concluded.

Signature

Name

Designation

 

Copy to – –

 

 

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