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THE GUJARAT GOODS AND SERVICES TAX FORMS 2017
OFFENCES AND PENALTIES

Body

FORM GST DRC -02

[See rule 142(1)(b)]

Reference No: Date:

To  
_______________ GSTIN/ID  
----------------------- Name  
_______________ Address  
Tax Period ------------- F.Y. ----------
Section /sub-section under which statement is being issued -
SCN Ref. No. ------- Date -
Statement Ref. No. ---- Date -
 
Summary of Statement
(a) Brief facts of the case  
(b) Grounds  
(c) Tax and other dues  

(Amount in Rs.)

Sr. No.

Tax rate Turnover Tax Period Act POS (Place of Supply) Tax Interest Penalty Others Total
From To
1 2 3 4 5 6 7 8 9 10 11 12
                       
                       
Total                      

  Signature
  Name
  Designation
  Jurisdiction
  Address

Note -

1. Only applicable fields may be filled up.

2. Column nos. 2, 3, 4 and 5 of the above Table i.e. tax rate, turnover and tax period are not mandatory.

3. Place of Supply (POS) details shall be required only if the demand is created under the IGST Act.