FORM JVAT 209
GOVERNMENT OF JHARKHAND
COMMERCIAL TAXES DEPARTMENT
[See Rule 19(11), 20(3)]
Refund Payment Order
VAT
REFUND ORDER
REFUND ADVICE OF PAYMENT
Serial No.....................
Head No ...................
Deduct Refund
Payable to..................
Order For Refund of VAT
Circle/Sub-Circle
Date of issue...................
Amount of refund
.....................(in figures).
.....................(in words)
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)
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.
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.
Designation
Examined.
Entered in Demand & Collection Register & Refund Register vide Item No..............dated........... In-charge of the Circle/Sub-Circle
* The Applicant shall mention same A/c No. which has been provided at the time of registration / amendment