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The Orissa Value Added Tax Rules, 2005 FORMS
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FORM VAT-324

APPLICATION FOR REFUND OF INPUT TAX CREDIT

CARRIED FORWARD FOR ADJUSTMENT (SUBSTITUTED BY FORM 320A W.E.F. 03-03-2014).

[Refer sub-rule (5) of rule 66]

01. Office Address

D D   M M   Y Y Y
    -     -        

02 TIN/SRIN                    

03. Name and address of the dealer

.

.

04. Tax period to which the input tax credit relates. From ___________ to______________

05.* The amount of input tax credit carried

forward and claimed as refund

.

Rs.____________________________

 

06. The reasons for which the input tax credit

now being claimed as refund, could not be

adjusted during the 24 months from the year

of accrual

(i)

(ii)

(iii)

07. Evidence, if any, in support of such reasons (To be enclosed)

(i)

(ii)

(iii)

* N.B- The amount claimed for refund at Sl. No.5 shall be equal to the minimum balance of excess input tax carried forward during the periods falling within the period of subsequent 24 months commencing from the month of March of the year to which the claim relates.

08. DECLARATION

I Sri / Smt, ______________________________son / daughter / wife of _________________________

(status)_______________________ of M/s. ________________________at ______________ bearing TIN

_________________do hereby declare that the information given above are true and correct to the best of

my knowledge and belief.

Place_____________________

Date_____________________

Signature

(Status)

Seal