The Nagaland Value Added Tax Rules, 2005 - FORMS
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THE NAGALAND VAT RULES, 2005

FORM VAT-27

[See rule 68(2)]

Duplicate for Office Record

Original for the Dealer

REFUND ADJUSTMENT ORDER

Book No._________________

Voucher No._________________

Date____________

1. Name of dealer or person to whom issued

_______________________________

2. TIN (in case of a dealer registered under the Act)

_______________________________

3. Amount of refund due

_______________________________

4. Date of order quantifying the refund amount

_______________________________

5. Details of amount deducted, if any on account of any demand outstanding against the applicant

Amount	Demand No. and Date	Voluntary Tax for period

6. Net refundable amount in figures in words (3-5) ____________________________ in figures____________________________

Signature and stamp of receiving dealer

Signature and stamp of issuing Officer

Date___________________

PART-II

(Endorsement)

Certified that the above refund adjustment order has been endorsed by me/us to M/s___________________________________ addresses________________________ who is registered under the Nagaland Value Added Tax Act, 2005 with TIN___________

Signature and Stamp of the Dealer to whom endorsed	Signature and Stamp of Receiving Dealer

Date_____________	Date_____________

PART-III

This refund adjustment is submitted for adjustment against

(a) My/our tax liability for the period______________________________________

(b) Tax payable against additional demand created vide order dated______________

by Sh.________________________________ ST/ACT for the year_________________

Adjustment allowed. Necessary entry has been made in register VAT-22

Signature of Assessing officer with stamp

Refund Clerk Date......................

Signature and Stamp of the Dealer who submitted the RAO for adjustment

Date___________