DEMO|

THE RAJASTHAN VALUE ADDED TAX RULES, 2006 - FORMS
-

Body

Form VAT - 20

[See Rule 27 (1) (a) and (2)(a)]

Application for Refund

For the quarter from ................ To ........................

To

AC/CTO/ACTO

Circle/ward

Tick the appropriate Act under which refund is sought The Rajasthan Value Added Tax Act, 2003
  The Central Sales Tax Act, 1956
The Rajasthan Tax on Entry of Goods into Local Areas Act, 1999
The Rajasthan Tax on Luxuries (in Hotels and Lodging Houses) Act, 1990
The Rajasthan Entertainments and Advertisements Tax Act, 1957
1. Name of Dealer  
2. TIN  
3. Address  
4. Details of Bank  
4.1 Name of the Bank in which refund is sought  
4.2 Name of the Branch  
4.3 Account No.  
4.4 Account Type  
4.5 IFSC No. of Branch  
4.6 Whether the Branch has CBS arrangement
Yes NO
 

   

5 Amount of refund claimed and reason(s) thereof.  
  a. Result of assessment order  
  i. Period From .................. To .................
  ii. Date of Order
D D M M Y Y Y Y
 
  b. as a result of order of competent officer/Authority /the Court
  i. Name of Authority  
  ii. Date of Order
D D M M Y Y Y Y
 

Place : Signature
Date : Name and Status

Declaration

I/We.......................................Proprietor/Partner/Director/Karta/Business Manager of M/s.................................declare that the facts stated above is true to the best of my knowledge and belief and nothing has been concealed. It is further declared that for the above referred period no other application for refund has been filed.

Place :   Signature
Date :   Name and Status