The Jharkhand Value Added Tax Forms , 2005
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FORM JVAT 207

GOVERNMENT OF JHARKHAND

COMMERCIAL TAXES DEPARTMENT

[See Rule 19(2)(b), 19(7), 19(8) and 19(10)]

Application for Provisional REFUND

Cover Page

Checklist of Supporting Documents

Shipping bill duly authenticated by Customs Department

Duplicate copy of Sale Invoice

Original purchase invoice on the basis of which refund is claimed

Proof of payment received or copy of letter of credit

Certificate from a Chartered Accountant / Tax Practitioner regarding purchase and sale of goods and correctness of claim of refund Append to this Form.

Affidavit as prescribed in this Application Form.

In case of exports under rule 5(3) of CST Act, copy of declaration by actual exporters

In case of sales of goods to the SEZ or the STP, or EOU or the EHTP, shall be accompanied by the copy of the tax invoice, certificate of the competent authority showing the name and address of the dealer, under which it is established and the entitlement of the dealer to purchase goods free of tax

In the case of Refund for excess Input Tax against CST Payable: an Affidavit to this extent that Input Tax under the Provisions of the Act has been paid into the Government Treasury.

Reasons for Rejection (For Office Use only)

Please tick as applicable

Not filed Mandatory _________________________________________________

Not enclosed Supporting Document(s) ____________________________________

Other _________________________________________________

Name of the Dealer

_________________________________________________

TIN

________________________________________________

Address

Building Name/Number

____________________

Area/Road

____________________

Locality/Market

_____________________

Pin Code

______________________

E-mail Id

_____________________

Telephone Number(s)

_____________________

Fax Number(s)

_____________________

Bank A/c No. *

_____________________

Type of exports/type of Zero Rated Sales

Under Section 5(1) & 5(3) of CST Act, 1956

Under Section 5(3) of CST Act, 1956

Zero Rated Sales

Period for which refund is claimed

_____________________________________________

Amount of Refund claimed

___________________________

Option of Refund - -- --

RAO (REfund Adjustment Order)

RPO (Refund Payment Order)

Details of purchases for which refund is claimed:

Invoice				Description of goods	Quantity	Value	Tax paid (Rs.
Name of Dealer	Registration No. (TIN)	Number	Date

9. Details of exports undertaken or sales made to the units specified in clause (ii) and (iii) of sub-section (2) of Section 49:

Invoice				Description of goods	Quantity	Value	Tax paid (Rs.
Name of Dealer	Registration No. (TIN)	Number	Date

10. Details of Zero Rated Sales undertaken specified in sub-section (2) of Section 49

Name of Dealer	Registration No. (TIN)	Amount of CST payable vide column 22(A) of Form JVAT 200	Amount of excess Input Tax Credit vide column 19(B) of Form JVAT 200	Period from which CST due, is Payable	Amount of CST for which claim of Refund is made

Declaration

I declare that I have not taken credit of input tax on purchases for which I have claimed refund and that I have reversed credit of input tax, if taken earlier

Signature

Full name of Applicant

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

Affidavit

I undertake that, in case of re-import of the above goods, I will communicate within a period of one month from the date of re-import into India of such goods, to the assessing authority or any other officer authorized in this behalf, and shall repay, forthwith, the amount of refund granted to me on this account along with interest

Instructions :

1. The application should be filed in duplicate

2. Enclose the following :

a. Shipping bill duly authenticated by Customs Department

b. Copy of Sale Invoice

c. Affidavit

d. Original purchase invoice on the basis of which refund is claimed

e. Proof of payment received or copy of letter of credit

f. In case of exports u/s 5(3) of CST Act, declaration by actual exporter

g. Certificate from a Chartered Accountant regarding purchase and sale of goods and correctness of claim of refund

3. 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

f. Or by the declared Business Manager

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