Form GST PMT-03

[See rules86 (4) & 87(11))]

Order for re-credit of the amount to cash or credit ledger on rejection of refund claim

Reference No.

1.  GSTIN –
2.  Name (Legal) –
3.  Trade name, if any
4.  Address –
5.  Period / Tax Period to which the credit relates, if any –                                                                  From ———– To ———–
6.  Ledger from which debit entry was made for claiming refund –                                                    cash / credit ledger
7.  Debit entry no. and date –
8.  Application reference no. and date –
9.  No. and date of order vide which refund was rejected
10.  Amount of credit –

Signature

Name

Designation of the officer

Note –
‘Central Tax’ stands for Central Goods and Services Tax; ‘State Tax’ stands for State Goods and Services Tax; ‘UT Tax’ stands for Union
territory Goods and Services Tax; ‘Integrated Tax’ stands for Integrated Goods and Services Tax and ‘Cess’ stands for Goods and Services Tax(Compensation to States)

 

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