Form GST PMT-03

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 -

PMT-03 Table-1

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)