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THE HIMACHAL PRADESH VALUE ADDED TAX RULES, 2005. FORMS
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FORM VAT-XXXIV

[See rule 75(2) (i) and 75-A]

REFUND PAYMENT ORDER

 
 		 Serial Number :
 
 
Place
 
 		 District
 
 

TIN
                     
     
 Date :
                     
     

Address
 
     
Dealer's name
 
     
Date of application     /     / 2 0    

Period From
    /     / 2 0    
     
 To
    /     / 2 0    
     
Amount of refund
 
     
Due date for payment of refund
 
     
Interest due under section 28(2), if any. :
 
 
 
     

Approved for payment of refund
Rs.
     
Date of approval
    /     / 2 0    
     
Date of sanction under rule 75(1)
    /     / 2 0    
     
Total amount of refund available by virtue of this order
Rs.
     
  Assessing Authority
Date :
    /     / 2 0    
     
 District
 
     

      (Seal)