DEMO|

THE BIHAR GOODS AND SERVICES TAX FORMS 2017
PAYMENT

Form GST PMT - 04

(See Rule 85(7), 86(6) & 87(12) )

Application for intimation of discrepancy in Electronic Credit Ledger/Cash Ledger/ Liability Register

1. GSTIN  
2. Name (Legal)  
3. Trade name, if any  
4. Ledger / Register in which discrepancy noticed
  Credit ledger   Cash ledger   Liability register

 

5. Details of the discrepancy
 
Date Type of tax Type of discrepancy Amount involved
  Central Tax    
  State Tax    
  UT Tax    
  Integrated Tax    
  Cess    

 

6.

Reasons, if any
 

7. Verification

I hereby solemnly affirm and declare that the information given herein above is true and correct to the best of my knowledge and belief.

    Signature
Place Name of Authorized Signatory  
Date Designation /Status......................  

Note -

'Central Tax' stands for Central Goods and Services Tax; 'State Tax' stands for State Goods and Services Tax; 'UT Tax' stands for Union territory Goods and Services Tax; 'Integrated Tax' stands for Integrated Goods and Services Tax and 'Cess' stands for Goods and Services Tax(Compensation to States)