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CGST FORMS
REFUND

Body

FORM-GST-RFD-04

[See Rule 91(2)]

Sanction Order No: Date:<DD/MM/YYYY>

To

_______(GSTIN)

______(Name)

__________ (Address)

Provisional Refund Order

Refund Application Reference No. (ARN)..........Dated <DD/MM/YYYY>..........-

Acknowledgement No......... Dated..........<DD/MM/YYYY>.........

Sir/Madam,

With reference to your above mentioned application for refund, the following amount is sanctioned to you on a provisional basis:

Sr. No Description Central Tax State Tax/UT Tax Integrated Tax Cess
i. Amount of refund claimed        
ii. 10% of the amount claimed as refund (to be sanctioned later)        
iii. Balance amount (i-ii)        
iv. Amount of refund sanctioned        
  Bank Details        
v. Bank Account No. as per application        
vi. Name of the Bank        
vii. Address of the Bank /Branch        
viii. IFSC        
ix. MICR        

Date: Signature (DSC):
Place Name:
  Designation:
  Office Address: