FORM 49
REFUND PAYMENT ORDER
(See Rule 67 of the Kerala General Sales Tax Rules, 1963)
COUNTER FOIL
Order for the refund of Tax
Other amount
Under the Kerala General Sales Tax Act, 1963. Fee
Amount of Refund Rs.........................................................................................................
Refund payable to Shri/Messrs ..........................................................................................
Registration Certificate No...................................................................................................
Date of order directing refund.............................................................................................
Number in collection register...............................................................................................
Showing the collection of ...................................................................................................
Amount regarding which refund is made ...........................................................................
Signed.....................................................................
Designation.............................................................
Dated
Signature of the recipient Of voucher
Date of encashment in The Government Treasury
General Sales Tax Act, 1963
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Fee
Under the Kerala
(Payable at the Government Treasury within one month of the date of the of issue)
To
The Treasury Officer
1. Certified that with reference to the assessment records of Shri/Messers................ Bearing Registration Certificate No. For the period from ........... To............... A refund of Rs............... (in words) Rupees....................... Is due to Shri/Messers......................................
2. Certified that the amount of tax/fec/other amount concerning which this refund is allowed has been duly credited to the Government Treasury vide chalan wise details furnished on the reverse.
3. 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 original file of the assessment under my signature.
4. Please pay to Shri/Messrs...................... The sum of Rs..........................(in figures) Rupees ................................(in words)
(for entries in the Treasury)
Date of encashment in the Government Treasury
Date ......................... Place ......................................
Pay Rupees ...................... Only.
(REVERSE)
DETAILS OF ORIGINAL CREDITS
Details of chalans by which credited