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)