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The Orissa Value Added Tax Rules, 2005 FORMS
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FORM VAT-321

OPTION FOR GRANT OF REFUND PENDING AUDIT AGAINST BANK GUARANTEE (OMITTED W.E.F. 03-03-2014)

[Refer clause (f) of sub-rule (1) of rule 66]

01. OFFICE ADDRESS

D D M M Y Y Y Y
    -      -        

.

.

2 TIN                      

O.3 NAME AND ADDRESS OF THE DEALER

.

.

04. The amount claimed as refund Under Section 59 (1) of the Act

Rs. _____________________________

(Rupees________________________

_______________________________

 

05.

The tax period (s) to which the refund claimed related

  DD MM YYYY
From     -     -        
 
  DD MM YYYY
To     -     -        
 
 

DECLARATION

06.

I, Sri _______________________________________Status___________________________of _________________________________do hereby exercise option for grant of the refund of Rs. __________(Rupees__________________) as claimed in my application in FormVAT-320 dt ________________, pending audit and final determination of the amount of refund due against Bank guarantee for the even amount.

.

.

Place________________________

Date__________________________

  Signature

Seal