DEMO|

The Jharkhand Value Added Tax Forms , 2005
-

Body

FORM JVAT 209

GOVERNMENT OF JHARKHAND

COMMERCIAL TAXES DEPARTMENT

[See Rule 19(11), 20(3)]

Refund Payment Order

Counterfoil I

VAT

REFUND ORDER

Foil II: (to be presented to the Treasury Officer for payment)

VAT

REFUND ORDER

Foil III: (to be remitted to the Treasury: not to encash)

VAT

REFUND ADVICE OF PAYMENT

Book No.....................

Serial No.....................

Head No ...................

Deduct Refund

Payable to..................

Book No.....................

Serial No.....................

Order For Refund of VAT

Circle/Sub-Circle

Book No.....................

Serial No.....................

Date of issue...................

Amount of refund

.....................(in figures).

.....................(in words)

Name of Dealer/Applicant

Address

Registrations No. (TIN) ........

Period.....................

Date of order directing

refund...........................

Valid up to 30 days from the date of issue..........................

Amount of refund................

Namk A/c No. of the Dealer (Applicant)* .....................

Serial Number of the assessee in Demand and Collection Register showing collection of amount regarding which refund is made..................

Signature of the In-charge of the Circle/Sub-Circle, / and Signature of the concerned Assistants of the Record / Office.

Signature of recipient.

Paid on (date)

Valid upto 30 days from date .........

Payable at ............... Treasury/ Sub-Treasury

1. Certified that with reference to the assessment record bearing T.I.N. No.................. of VAT Registration Certificate, a refund of Rs................is due to Sri / Ms ................................................

................................................

2. Certified that the tax, penalty, or interest concerning which the refund is given has been credited in Bank/Treasury/vide Challan No.................dated...............

3. Certified that no refund order regarding the sum now in question has previously been granted and this order of refund has been entered in the original file of Assessment under my signature. Please pay to Sri/Ms ................................................ on account of the above Refund, the sum of

Rs..............(Figures)

Rs...................(in words)

Signature and seal of

In-charge of the Circle

Signature/Counter signature and seal of the Addl. CCT (Admn.)/JCCT (Admn) of Division

Received payment.

Payable at................... Treasury

Signature & Designation of Paying Authority.

No................date...............

Checked the Refund Advice of the In-charge of the Circle/Sub-Circle ........................

Seal of Treasury or Bank.

Signature of Treasury Officer/Manager of the Bank.

Signature

Designation

(Claimant's signature)

Examined.

 
(to be attested by the In-Charge of the Circle/Sub-Circle after advice of payment is received from their Bank/Treasury.)

Entered in Demand & Collection Register & Refund Register vide Item No..............dated........... In-charge of the Circle/Sub-Circle

Signature of the Treasury Officer / Manager of the Bank  

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