FORM VAT - G10
[See rule 44(3)]
Interest Payment Order
COUNTER FOIL
Book No.........
Voucher No. ..............
Interest on Delayed Refund
Order for payment of interest on delayed refund under the Haryana Value Added Tax Act, 2003.
Interest on delayed refund payable to M/s. /Sh................................. TIN (if any) ..........
Date of order directing the payment of interest on delayed refund.........
Amount of delayed refund on which interest is claimed or payable Rs..........
Amount of interest to be paid on delayed refund Rs.........
The amount is debitable to head "2040-Taxes on Sales, Trade etc." ..............................
Signature ...........
Date ............
Designation ..........
Signature of the recipient of the voucher
with name and status
Date :............................
Date of encashment in the Government Treasury ............
Book No........
Voucher No..............
Interest on delayed Refund
Order for payment of interest on delayed refund under the Haryana Value Added Tax Act, 2003 payable at the Government Treasury within three months of the date of issue.
To
The Treasury Officer
....................
(1) Certified that with reference to the assessment/ appeal record of M/s. / Sh.................... bearing TIN(if any)........ for the period from .... 20... to ......20... an amount of Rs..... is/was required to be refunded to the above mentioned dealer/person.
(2) Certified that the payment of the said refund was delayed for the period........... and that the dealer has claimed/is entitled to interest under rule 44 (3) of the Haryana Value Added Tax Rules, 2003 for the delay in granting the refund.
(3) Certified that the dealer is entitled to Rs....... as interest on the delayed refund and that no order for the payment of interest has previously been granted and that this order for payment of interest has been entered in the original file of assessment under my signatures.
Signature..................
Designation ..............
Date ....................
Date of encashment in Government Treasury .................
Place ........
Pay Rupees.................... Only
The ...... day of........20 ....
Signature ..................
Treasury Officer
Received Payment of Rs......................
Signature of Claimant or his agent....................
Date:........................