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The Assam Value Added Tax Rules, 2005. Forms
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THE ASSAM VALUE ADDED TAX RULES, 2005

FORM-38

[See Rule 29(1)(f)]

REFUND VOUCHER

THE ASSAM VALUE ADDED TAX RULES, 2005

FORM-38

[See Rule 29(1)(f)]

REFUND VOUCHER

Book No. ............................... Book No. ...............................
Voucher No. .......................... Voucher No. ..........................
COUNTERFOIL ORDER FOR REFUND OF TAX

Refund payable to

Payable at the Treasury/State Bank of India within one month of date of issue.
Assessment record No. To
Date of order directing refund The Treasury Officer....................
Amount of Refund The Agent, State Bank of India..................
Number and date of collection in assessment register showing collection of amount regarding which refund is made. 1. Certified that with reference to the assessment record No. ................. of .......... a refund of Rs. ....................... is due to ........................ in respect of the return period ending ...........
.....................................................................   2. Certified that the tax concerning which the refund is given has been credited in the Treasury.
Initials of Prescribed Authority 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 assessment under my signature.
Signature of recipient of the voucher 4. Please pay to ....................... the sum of Rs. ......................... [Rupees (in words) .............] on account of the above refund.

Seal:

Treasury Date:

Place:

Signature of Prescribed Authority

Date of encashment in the State Bank Received payment

Claimant's signature

Pay rupees only _______________

Treasury/Sub-Treasury Officer

Agent or Manager

   Examined

Accountant