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. Date –

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)

Download the pdf Form here