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The Gujarat Value Added Tax Rules, 2006
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FORM 307

[See rule 38 and 40]

REFUND/INTEREST PAYMENT ORDER

1. Refund Payment Order under section.. Book No. : .....
2. Interest Payment Order under section.. Serial No. : ....
  payable within three months from the date of issue Issue date : ....
  valid for amount Rs. .....................valid up to ............  

Order under

The Gujarat Value Added Tax Act, 2003

Or Under the Central Sales Tax Act, 1956.

To

Officer in charge,

Treasury office/State Bank of India

.........................

.

Name of the dealer

VAT Registration No. ......................... C.S.T. R.C. No. .........................

Assessment year ......................... Period from ............... to .........................

Date of passing the order ......................... Amount of Refund Rs. ..................

.

Please pay to,

Ms. .................................................. the sum of Rs. .........................

Rs. in words .................................................. on account of refund due to him.

Seal :  
   
Place : Signature :
Date : Designation

__________________________________________________________________________________

Received payment Rs. .........................

Claimant's signature ......................... Dated .........................

Pay Rs. ......................... Rs in words .........................

   
Sd/-  
Officer in charge Examined and verified
Govt. Treasury/State Bank of India Sd/-
........................ dated .................. Manager/Accountant