The Jharkhand Value Added Tax Forms , 2005
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Body

FORM JVAT 206

GOVERNMENT OF JHARKHAND

COMMERCIAL TAXES DEPARTMENT

[See Rule 19(2)(a)]

Application for Refund

Cover Page

Checklist of Supporting Documents

Copy of Assessment Order in which Refund has been claimed

Copy of the Notice of demand in JVAT 300

Reasons for Rejection (For Office Use only)

Please tick as applicable

Not filed Mandatory _________________________________________________

Not attached Support Document(s) _________________________________________

Other _________________________________________________

1. Assessment /Re-assessment Order No. ___________________________________

2. (TIN) ___________________________________

3. Name of the Dealer ___________________________________

4. Address

Telephone Number(s) ___________________________

Fax Number(s)/E-mail ___________________________

5. Bank A/c No.* ___________________________

6. Period of Refund : From : ___________________________ to ___________________________

7. Amount of Refund claimed ___________________________

8. Reason for Refund ___________________________________________________

9 Option of Refund - RAO (REfund Adjustment Order) -- -- RPO (Refund Payment Order)

Verification

I certify that the information given in this form and its attachments (if any) is true and correct to the best of my knowledge and belief and nothing has been concealed

Signature

Full name of Applicant

Designation/Date/Place

Instructions

1. Please ensure that the form is complete

2. This Form should be verified and signed by:

a. Proprietor, in case of Proprietorship concern

b. Managing Partner, in case of Partnership firm and where there is no Managing Partner, by all the partners if there is no registered partnership deed and in case of a registered partnership deed by any one of them.

c. Managing Director or authorized signatory, in case of a Company

d. Karta, in case of Hindu Undivided Family

e. Authorised Signatory, in all other cases

* The Applicant shall mention same A/c No. Which has been provided at the time of registration / amendment