THE RAJASTHAN VALUE ADDED TAX RULES, 2006 - FORMS
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Body

Form VAT - 23

[See Rule 27]

Order of Electronic Refund

AC/CTO/ACTO	TIN
Circle/Ward

1. Details of the Dealer

1.1	Name of the Dealer
1.2	Registration No.(TIN)

2. Address

2.1	Building No/Name
2..2	Area Town and City
2..3	District
2..4	Pin Code

3. Details of Bank:

3.1 Name of the Bank in which refund is sought
3.2 Name of the Branch
3.3 Account No.
3.4 Account Type
3.5 IFSC No. of the Branch

4. Amount of Refund claimed and reason(s) thereof

a.	as a result of assessment order
(i)	Amount of refund
(ii)	Period
(iii)	Date of order, if any DD/MM/YYYY

or/ and

b.	as a result of order of competent officer/authority/court
(i)	Amount of refund
(ii)	Period
(iii)	Date of order, if any DD/MM/YYYY

or/ and

c.	as a result of order of early refund u/s 17(2)
(i)	Amount of refund
(ii)	Period
(iii)	Date of order u/s 17(2) DD/MM/YYYY

or/ and

d.	as a result of sales in the course of export outside the territory of India
(i)	Amount of refund
(ii)	Period
(iii)	Date of order DD/MM/YYYY

or/ and

e.	Refund related to a person not registered under the Act
(i)	Amount of refund
(ii)	Period
(iii)	Date of order of competent Authority DD/MM/YYYY

Certificate

It is certified that:

(i) I have personally examined and ensured observance of all formalities regarding necessary entries.

(ii) the amount of refund has been entered at S. No..... of Demand and Collection register for the year .........

(iii) the dealer's claim for the refund of payment of tax on sale of goods for the above mentioned period has been verified from the cash deposit/ Input tax credit (I.T.C.) by the dealer for the period concerned.

(iv) the Tax, Penalty or Interest concerning which the refund is given has been credited in the Bank/ treasury.

(v) no refund order regarding the sum now in question has previously been granted and this order of refund has been entered in the file of M/s.................................... for the period ................ under my signature.

(vi) Bank Account details of the dealer have been verified from the application/ record.

Seal of the office
	(Digital signature)
	Designation of the Authority
	Name of the office

To be filled by Dy. Commissioner [Adm.]

Forwarded to Central Refund Officer (C.R.O.), Jaipur for grant of refund of amount Rs. ................................. (in digit) .................................................... (in word) to M/s ................................. TIN ........................

	(Digital signature)
	Deputy Commissioner (Adm.)
	Commercial Tax Department,
	Zone..............."