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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-A

[Sec Rule 29A]

REFUND VOUCHER

 THE ASSAM VALUE ADDED TAX RULES, 2005

FORM 38-A

[Sec Rule 29A]

REFUND VOUCHER

Book No.......................................... Book No..........................................
Voucher No. ............................................. Voucher No. .............................................
COUNTER FOIL ORDER FOR REFUND OF TAX Payable at the Treasury/State Bank of India within on month of date of issue
Refund payable to  
Order record No To
Date of Order directing refund The Treasury Officer ................
Amount of Refund The agent, State Bank of India
  I, Certified that with reference to the order record No. ............... of ................... a refund of Rs................ is due to ............................. in respect of the purchase mad during .......................
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 order under my signature
Signature of recipient of the Voucher 4. Please pay to .................. the sum of Rs................... (Rupess (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

claimants signature

 Pay rupees only-------------------
    Treasury/sub-treasury Officer Agent or Manage
Examined    
Accountant