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 –

 

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)

 

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