Delhi Value Added Tax Rule, 2005 FORMS
-

Body

Department of Trade and Taxes

Government of NCT of Delhi

FORM DVAT 23

PART - A

[See Rule 35]

Delhi Value Added Tax Refund Form

[To be used only by Embassies, International and Public Organisations and their Officials]

1 . Full Name of Organisation

(For individuals, provide in order of first name, middle name, surname)

2. Address of Organisation

Building Name/ Number

Area/ Road

Locality/ Market

Pin Code

Email Id

Telephone Number

Fax Number

3. Entry Number of Sixth Schedule under which the applicant is eligible to claim refund

4. Date of filing of last refund claim (if any)

(dd/mm/yy)

5. Total tax paid as per invoices attached*

(Rs.)

'Please complete Annexure and attach all tax invoices for which tax refund is being claimed

6. Details of Bank Account in which refund should be remitted

Account Number

MICR Number

Name of Bank

Address of Bank

7. Verification

I/We ________________________________________ hereby solemnly affirm and declare that the information given hereinabove is true and correct to the best of my/our knowledge and belief and nothing has been concealed therefrom.

Signature of Authorised Signatory ___________________________________________

Full Name (first name, middle, surname) ______________________________________

Designation/Status _______________________________________________________

Place

Date
	Day		Month			Year

Form DVAT 23

PART B

(i) Details of purchases of tax paid goods in respect of which refund of tax is sought

S.No.	Tax Invoice date	Tax Invoice No.	Supplier TIN under the Act	Purchase Price (Rs.) (inclusive of tax)	Tax (Rs.)

















						Carry total to main form to (5)

				Total

(ii) Verification

I/We _______________________________________ hereby solemnly affirm and declare that the information given hereinabove is true and correct to the best of my/our knowledge and belief and nothing has been concealed therefrom.

Signature of Authorised Signatory ______________________________________________

Full Name (first name, middle, surname) _________________________________________

Designation/Status __________________________________________________________

Place

Date
	Day		Month			Year

Instructions for filling Return Form (Embassy and Staff) (Please refer to Section 41, Sixth Schedule and Rule 35)

1. Please do fill all the applicable fields in the form

2. Please maintain a minimum period of 3 months between successive filing of refund claims

3. Please attach a copy of the letter of authorization in case the form is not signed by the Chief of the Organization.

4. Please refer to Sixth Schedule for ascertaining the following:

* Qualified persons eligible to claim refund; and

* Eligibility of items/transactions eligible for refund

PART-C

Delhi Value Added Tax Refund Form

(to be filed if the refund of tax borne by the organization is to be reduced by a condition of the notification)

1 . Full Name of Organisation

(For individuals, provide in order of first name, middle name, surname)

2. Address of Organisation

Building Name/ Number

Area/ Road

Locality/ Market

Pin Code

Email Id

Telephone Number

Fax Number

3. Entry Number of Sixth Schedule under which the applicant is eligible to claim refund

3A. Notification Number under which the applicant is eligible to claim reduced refund

4. Date of filing of last refund claim (if any) (dd/mm/yy)

5. Total tax paid as per invoices attached* (Rs.)

*Please complete PART-C and attach all tax invoices for which tax refund is being claimed

5A. Percentage by which the refund is to be reduced (%

5B. Less : Amount by which the refund is to be reduced (Rs.)

5C. Net Amount of refund payable [row 5 – row 5B] (Rs.)

6. Details of Bank Account in which refund should be remitted

Account Number

MICR Number

Name of Bank

Address of Bank

7. Verification

I/We __________________________________________ hereby solemnly affirm and declare that the information given hereinabove is true and correct to the best of my/our knowledge and belief and nothing has been concealed therefrom.

Signature of Authorised Signatory .............................................................................

Full Name (first name, middle, surname) .............................................................................

Designation

Place

Date
	Day			Month			Year

Form DVAT 23

PART-D

(to be filed if the refund of tax borne by the organization is to be reduced by a condition of the notification)

(i) Details of purchases of tax paid goods in respect of which refund of tax is sought

S. No.	Tax Invoice Date	Tax Invoice No.	Supllier Registration No. under the Act	Purchase Price (Rs.) (exclusive of tax)	Rate of tax (%)	Tax paid (Rs.)	Rate by which refund to be reduced (%)	Amount by which refund to be reduced (Rs.)
(1)	(2)	(3)	(4)	(5)	(6)	(7)	(8)	(9)







			Total
						Carry total to Part-C row 5		Carry total to Part-C row 5B

(ii) . Verification

Signature of Authorised Signatory .............................................................................

Full Name (first name, middle, surname) .............................................................................

Designation

Place

Date
	Day			Month			Year