[Refer Rule 90(5)]

Application for Withdrawal of Refund Application

1.   ARN:

2.  GSTIN:

3.  Name of Business (Legal):

4.  Trade Name, if any:

5.  Tax Period:

6.  Amount of Refund Claimed:

7.  Grounds for Withdrawing Refund Claim:

i.       Filed the refund application by mistake:

ii.      Filed Refund Application under wrong category

iii.     Wrong details mentioned in the refund application

iv.      Others (Please Specify)

8.    Declaration: I/We <Taxpayer Name> hereby solemnly affirm and declare that the information given herein is true and correct to the best of my/ our knowledge and belief and nothing has been concealed therefrom.


Place:                                                                                                                                       Signature of Authorised Signatory

Date:                                                                                                                                                               Name



Download the Form here