The Orissa Value Added Tax Rules, 2005 FORMS
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FORM VAT-318 A

REFUND PAYMENT/ADJUSTMENT ORDER

[see sub-rule (3) of rule 64]

Office Address:

Date:

Dear---------------------,

We are happy to intimate you that your application for Refund bearing No. ------------ Dated ------------- has been approved vide Assessment / Appeal / Revision / Rectification / Court Order No. ---------- Dated ..................... ...........and the details of the refund order are given below.

1. Name of the Dealer	: -------------------
2. TIN/SRIN	: -------------------
3. Act under which refund is granted	: -------------------
4. Total refund amount	: Rs. ---------------
(in figure and in words)	: Rupees----------
5. Bank Account number	: -------------------
6. Bank name & Branch	: -------------------
7. IFSC code	: -------------------
8. Mode of refund	:

Total Amount to be Refunded (Tax/interest /penalty/security)	PCR Number/ Date showing collection of amount now being refunded	Cash Refund Amount (Amount in Rupees)	Adjustment Amount (Amount in Rupees )	Act under which the arrear to be adjusted	DCRNo./Date

The amount will be credited to your bank account through ECS in next 48 hours through the Directorate of the Treasuries & Inspection. In case of any difficulties, please contact our toll free numbers or the concerned circle office.

Authorised Officer

Note:

1. This order is for reference only.

2. This document is generated from the system and hence, no seal and signature is required.