Delhi Value Added Tax Rule, 2005 FORMS
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Department of Trade and Taxes

Government of NCT of Delhi

FORM DVAT 22

[See Rule 34]

	Serial Number:
Reference No « Reference Number »	Date « Date »

Refund order

1. Registration No. / TIN

2. Full Name of Dealer

3. Dealer's address

Building Name/ Number

Area/ Road

Locality/ Market

Pin Code

4. Date of refund application

(dd/mm/yy)

5. Type of refund application

Tick - one

DVAT-21

DVAT-16

DVAT-16A

DVAT-17

6. Tax Period in which refund claimed

From

7. Refund calculation

Amount (Rs.)

(i) Refund claimed

(ii) Refund allowed

(iii) Interest due in case of delayed payment of refund [u/s 42]

(iv) Amount of set off/ adjustment [u/s 38(2)]

(v) Net amount of refund payable ((ii)+(iii)-(iv))

8. Security (if any)

(a) Amount of Security

Rs.

(b) Type of Security

Day

Month

Year

(Signature)

(Designation)

(Place)

(Date)

Department of Value Added Tax

Note: Please quote your Registration No./ TIN while communicating with the Delhi VAT Department in this matter or in any other matter whatsoever.