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THE RAJASTHAN VALUE ADDED TAX RULES, 2006 - FORMS
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Body

Form VAT - 25

[see Rule 27(10) and (11)]

Refund Adjustment Order

Book No........................ Voucher No...............

XII A VAT Deduct Refund

________________________________________________________________________________

1. Name of Dealer (Proprietor/Firm name/Company name etc.) _____________________________________
2. Trade Name (s) (if any) (in which the business is carried on) _____________________________________
3. Registrations No. (TIN) _____________________________________
4. Address Building No/ Name/Area _____________________________________
  Town/City _____________________________________
  District (State) _____________________________________
  Pin Code _____________________________________
  Email Id _____________________________________
  Telephone Number(s) _____________________________________
  Fax Number(s) _____________________________________
5. Period of refund _____________________________________
6. Amount of refund to be adjusted _____________________________________
  in figures _____________________________________
  in words _____________________________________

7. Certified that no refund order regarding the sum in question has previously been granted and this order of refund has been entered on the original assessment order and the demand and collection register.

8. Certified that the tax, penalty or interest concerning which this refund is allowed has been credited into the Treasury / Bank................. under challan No .................. dated ............

9. This refund will be adjusted towards the amount of VAT/CST/Other dues from the said dealer for the period from......................to.......................or any subsequent month/quarter/year in the future.

 
Seal
 

 

 

      Signature

Name

Designation

     

Place : __________________

Date: ___________________

Note:-

The dealer shall enclose this Order with the return to be furnished by him for the month/quarter/year........................against which the adjustment is desired.