DEMO|

The Orissa Value Added Tax Rules, 2005 FORMS
-

FORM VAT-319

REFUND PAYMENT ORDER (SUBSTITUTED BY FORM 318A W.E.F. 03-03-2014)

(See sub-rule (3) of rule 64)

Part I

(To be retained in the office of issue)

Book No

   

DD

MM

YYYY

Voucher No

     

 

    -     -        
 
01. Name of dealer or person to whom issued .

________________________________

02. TIN/SRIN (In case of dealer registered under the Act)
TIN/SRIN                      
 

03. Amount of refund due (in figure and in words.) Rs. _____________________________

(Rupees ________________________)

04. References to P.C.R. serial no and date showing the collection of the amount, now being refunded.

Amount Period Reference to P.C.R. SI. No and date.

     

 

05. Date of order quantifying the refund

D D M M Y Y Y Y
    -     -        
 
Signature of the receipant of the

Voucher

Signature and stamp of the Issuing Officer

Date _______________________ Date ______________________

Date of encashment in the Govt. Treasury __________________________________

Part II

ORDER FOR REFUND OF TAX / INTEREST / PENALTY /SECURITY

[Head of account "040-Sales Tax (b) Receipts under Value Added Tax Act (c)- Deduct Refunds "Payable at the Govt. Treasury within three months of the date of issue.]

To

The Sub Treasury /Special Treasury / Treasury Officer.

_____________________________________

Please pay to __________________________

01. Name of the dealer or person,_____________________________________________

To whom payable.

02. TIN/SRIN (In case of dealer registered under the Act)
                     
 

The sum of -

03. Rs ______________

(Rupees ____________________________________________)

towards refund of tax / interest / penalty / security paid for the period (s) from _________ to_________________ vide order dated _______/______/__________ referred to

P.C.R. serial no. _________ dt ___________

Seal of the officer.

Date __________________

Signature and designation of the Issuing

Officer

 

To be filled in by the Treasury

Date of encashment _____/_____/_________ in the Govt. Treasury at _____________

___________________

Pay Rs ___________ (Rupees_______________________)

Date

_____________________

Treasury officer,

__________________

Received payment.

Signature of the claimant.

Part III

(Treasury officer's copy not to be encashed)

Book No

   

DD

MM

YYYY

Voucher No

     
 
    -     -        
 

[Head of account " 040-Sales Tax (b) Receipts under Value Added Tax Act(c)- Deduct Refunds]

ORDER FOR THE REFUND OF TAX/ INTEREST/ PENALTY/ SECURITY

PAYABLE AT THE GOVT, TREASURY WITHIN THREE MONTHS OF THE

DATE OF ISSUE.

To

The Treasury officer, ____________________________

Please pay to -

01. Name of the dealer or person, _________________________________________

to whom payable

02. TIN/SRIN (In case of dealer registered under the Act)
                     
 
03. The sum of - Rs_______________________________

(Rupees__________________________)

towards refund of tax / interest / penalty /security paid for the period (s) from ____________

.

to _________ vide order dated

P. C. R. Serial no.______dt _____

DD MM YYYY
 
.

.

referred to

    -     -        
 
 

.

.

Seal of the officer.

Date _______________

Signature and designation of the Issuing

Officer

To be filled in by the Treasury

.

Date of encashment

D D M M Y Y Y Y

    -     -        

Govt. Treasury at _______________________________________

Pay Rs ___________________ (Rupees _____________________________________) only

Date______________ Signature of the

Treasury officer

Received payment.

Signature of the claimant.