ANNEXURE-V - Form GST - Refund order - Report on - Business Processes for GST on Refund Process - [August 2015]

ANNEXURE-V Department of ------------ Government of ------------ Form GST [See Rule -] Reference No. Date - Refund order under ----- Goods Services Tax Act, ---- 1.GSTIN 2. Full Name of Taxpayer 3. Taxpayer s address Building Name/ Number Area/ Road Locality/ Market Pin Code 4. Receipt No. date of refund Application Receipt No.- Receipt date- 5. Act Tick one q IGST q CGST q SGST 6. Type of refund application Tick one q Return type q Return type Application Note - Return type can be regular composition (say, GST-20,21) etc. 7. Tax Period for which refund claimed From To dd mm yy dd mm yy 8. Refund Calculation i) Refund claimed ii) Refund reduced, if any iii) Refund allowed (i ii) iv) Interest due in case of delayed payment of refund v) Amount of adjustment against outstanding demand (vi) Net amount of refund payable (iii + iv v) 9. Details of Bank Account i) Bank Account No. ii) Bank Account Type iii) Operated in the name of iv) Name Address of Bank/Branch v) MICR No. / IFSC (Signature) Name(Designation) Ward/Circle/Unit/Other (Place) (Date) Note - Please quote your GSTIN while communicating with the department ------in this matter or in any other matter whatsoever.