THE RAJASTHAN VALUE ADDED TAX RULES, 2006 - FORMS
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Body

Form VAT - 23-A (omitted w.e.f. 01-07-2015)

[See Rule 27(1)(a), 28(3) & 29(2)]

OrderFor electronic refund

To,

The Central Refund officer

Commercial Taxes Department

Rajasthan, Jaipur.

Refund Order No.

1. Name of Dealer

2. Registration No. (TIN)

3. Address Building No/ Name Area/Town and City District (State)

Pin Code

e-mail Id

Alternate e-mail Id

Telephone Number(s)

FAX No.

4. Details of Bank:
4.1 Name of the Bank in which refund is sought
4.1 Name of the Bank in which refund is sought
4.2 Name of the Branch
4.3 Account No.
4.4 Account Type
4.5 IFSC No. of Branch

4. Amount of refund allowed and reason(s) thereof

a. as per assessment order -

Period

From

ii. Date of order, if any

DD/

MM/

YYYY

or /and

b. as a result of order of competent officer/authority/court -

i. Name of Authority

ii. Date of order

DD/

MM/

YYYY

It is certified that the amount of refund has been entered at S.No. --- of Demand and Collection register for the year-------

It is also certified that the tax, penalty, or interest for which the refund is given, has been credited in the Bank/ treasury vide challan No.--dated ------ and entered in R.C.R. at S. No. --------------.

It is further 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 file of M/S ------------- --------------------------------- for the period ----------------under my signature.

Seal of Office	Signature of Issuing Authority
	Name of Issuing Authority

Copy forwarded to M/s ............................... for information and Bank Reconcilation

Seal of Office	Signature of Issuing Authority
	Name of Issuing Authority