(See sub-rule(15)of rule 41 Government of Uttaranchal
Department of Commercial Tax
Advice of Refund of Tax
COUNTER FOIL
Book No.------------- Voucher
No.------
To,
The Treasury /Sub-Treasury Officer --------------------------
Officer- in- charge State Bank of India ------------------
Following are the particulars of Tax Refund order passed by me on-------------------
Book No.------Voucher NO.-----
Date----------------
(1) Refund payable to-------------
-----------------------------------
(2) G.I.R.No.----------------
(3) Assessment year-----------
(4) Refund ordered by-------------
---------------------------------vide
Order No.-------dated------------
in Appeal/Revision/Assessment No-----------------------
(5) Amount of Refund
(6) Nature of refund-------------
(i) State/Central
(ii) Tax/penalty/fee/interest/
miscellaneous
(7) PARTICULARS OF DEPOSIT
(See sub-rule(15)of rule41 ) Government of Uttaranchal
DUPLICATE
Book No.----- Voucher
No.--------
(4) Refund ordered by------------
(5) Amount of Refund------------
(6) Nature of refund
(See sub-rule(15)of rule 41) Government of Uttaranchal
ORIGINAL
No.-------
The Treasury /Sub-Treasury Officer -------------------------
Book No.------Voucher NO-----
(1) Refund payable to-----------
----------------------------------
--------------------------------vide
Order No.-------dated-----------
(6) Nature of refund-
Da
Assistant Commissioner
Sector-----------Circle-------------
Place-----------------Dated-------
Date of encashment-----------------
in the Treasury/Sub-Treasury / State Bank of India
Treasury / Sub-Treasury Officer / Officer-in-charge, State Bank of India,
---------------- ( Stamp)
------------------- ( Stamp)