Form 48

[see rule 48(1)]

Refund Adjustment Order

Under rupees____________ (in words) rupees__________________________

To,

The Treasury/ Sub-Treasury Officer,

______________

l. A refund of Rs. ___________ (in words)_________________________ is senctioned under section 39 of the Chhattisgarh Value Added Tax Act, 2005 in favour of Shri/ M/s. _________________________ holding Registration Certificate No. (Tin) __________________ on account of ___________ .

2. No refund of the amount mentioned above has previously been granted to Shri/M/s. __________________________________________________.

3. Entry of the order of the refund has been duly made in the relevant record pertaining to the said dealer under my signature.

4. The amount of refund is adjusted towards the amount of Rs.___________ due to the dealer under Chhattisgarh Value Added Tax Act/Central Sales Tax Act/Chhattisgarh Sthaniyam Kshetra Me Mal Ke Pravesh Par Kar Adhiniyam major head _____________ pertaining to the period from ____________ to ____________________ .

5. Please therefore, debit the said sum of Rs._____________ (in words) ______________________________ to the head ______________ and credit the said sum to the head _________________________ .

(For use in the treasury/sub-treasury)

(To be returned by the treasury/sub-treasury to the officer issuing the refund adjustment order)

To,

The Commercial Tax Officer/

Assistant Commissioner of Commercial Tax

___________________________________

In pursuance of your refund adjustment order no. ___________ dated _________ the sum of Rs.___________ (in words) ____________ has been adjusted in the manner indicated therein on ____________

Signature ____________________

Treasury/sub-treasury officer_________________