I hereby declare that the goods exported are not subject to any export duty. I also declare that I have not availed any drawback of central excise duty/service tax/central tax on goods or services or both and that I have not claimed refund of the integrated tax paid on supplies in respect of which refund is claimed.
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notes)
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presence over multiple States.
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12B
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Any ITC which was booked in the audited Annual Financial Statement of
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earlier financial year(s) but availed in the ITC ledger in the financial year for
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which the reconciliation statement is being filed for shall be declared here.
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This shall include transitional credit which was booked in earlier years but
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availed during Financial Year 2017-18.
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12C
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Any ITC which has been booked in the audited Annual Financial Statement of
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the current financial year but the same has not been credited to the ITC ledger
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for the said financial year shall be declared here.
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12D
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ITC availed as per audited Annual Financial Statement or books of accounts
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as derived from values declared in Table 12A, 12B and 12C above will be
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tax
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E
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Deemed Exports
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Advances on which tax has
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F
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been paid but invoice has not
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(c)
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Exports of goods / services- without payment of tax (accumulated ITC)
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down)
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(d)
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ITC accumulated due to inverted tax structure [under clause (ii) of first
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proviso to section 54(3)]
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(e)
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On account of supplies made to SEZ unit/ SEZ developer (with
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payment of tax)
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specify)
Verification:
I hereby solemnly affirm and declare that the information given herein above is true and correct to the best of my knowledge and belief and nothing has been concealed there from. **(Signature and stamp/Seal of the Auditor)
Place: ……………
Name of the signatory …………………
Membership No………………
Date: ……………
Full address ………………………
Verification of registered person:
I hereby solemnly affirm and declare that I am uploading the reconciliation statement in FORM GSTR-9C prepared and duly signed by the Auditor and nothing has been tampered or altered by me in the statement. I am also uploading other statements, as applicable, including financial statement, profit and loss account and balance sheet etc.
Signature
Place:
Date:
Name of Authorized Signad valign="bottom" width="31">
G
Input Tax credit received from ISD
H
Amount of ITC reclaimed (other than B above)
under the provisions of the Act
IGST credit availed on import of goods (as per
<Auto
H
6(E) above)
>
I
Difference (G-H)
ITC available but not availed on import of
J
goods (Equal to I)
Total ITC to be lapsed in current financial year
<Auto
<Auto
<Auto>
<Auto
K
(E + F + J)
>
>
>
Pt.
IV
Details of tax paid as declared in returns filed during the financial year
Description
Tax
Paid through
I
Sub-total (B to H above)
J
Difference (I - A above)
Transition Credit through TRAN-I (including
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
Statement-7 [rule 89(2)(k)]
Refund Type: Excess payment of tax, if any in case of last return filed.
(Amount in Rs.)
<
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Tax period
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ARN of
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Date of
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Tax Paid in Excess
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return
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filing
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Integrated
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Central
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State/
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Cess
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return
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tax
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ITC claimed in Annual Return (GSTR9)
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F
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Un-reconciled ITC
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ITC 1
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13
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Reasons for un-reconciled difference in ITC
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A
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Reason 1
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<<Text>>
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B
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Reason 2
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<<Text>>
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C
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Reason 3
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<<Text>>
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14
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Reconciliation of ITC declared in Annual Return (GSTR9) with ITC availed on
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expenses as per audited Annual Financial Statement or books of account
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Description
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Value
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Amount of
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Amount of eligible
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Total ITC
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ITC availed
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(f) On account of supplies made to SEZ unit/ SEZ developer (without payment of tax)
/td>Authority
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(g) Recipient of deemed export supplies/ Supplier of deemed export
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supplies
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(h)
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On account of order
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Sl.
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Type of order
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Order
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Order
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Order
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Payment
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No.
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No.
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date
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Issuing
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reference
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and ITC availed
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E
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Import of goods (including
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Inputs
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e
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ty
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UT
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Tax
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1
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2
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3
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4
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5
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6
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7
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8
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9
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19
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supplies from SEZs)
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Capital Goods
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F
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Import of services (excluding inward supplies
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from SEZs)
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no., if any
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(i)
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Assessment
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(ii)
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Finalization
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of
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Provisional
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assessment
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(iii)
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Appeal
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<stsp;
G
pending
out of E
above
16
Details of credit reversed or availed
Description
Centra
State
Integrate
Cess
l Tax
Tax /
d Tax
UT
Tax
1
2
3
4
5
Credit reversed on opting in the composition
A
scheme (-)
Credit availed on opting out of the
10. Place of supply wise details of IGST demand
Place of Supply
Demand
Tax
Interest
Penalty
Other
Total
(Name of State /
UT)
1
2
3
4
5
6
7
Amount in dispute
/ earlier order
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been issued (not covered under
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(A) to (E) above)
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auto-populated here.
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12E
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Net ITC available for utilization as declared in Table 7J of Annual Return
|
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(GSTR9) shall be declared here.
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13
|
Reasons for non-reconciliation of ITC as per audited Annual Financial
|
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Statement or books of account (Table 12D) and the net ITC (Table12E)
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availed in the Annual Return (GSTR9) shall be specified here.
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14
|
This table is for reconciliation of ITC declared in the Annual Return (GSTR9)
|
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against the expenses booked in the audited Annual Financial Statement or
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books of account. The various sub-heads specified under this table are general
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expenses in the audited Annual Financial Statement or books of account on
|
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which ITC may or may not be available. Further, this is only an indicative list
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of heads under which expenses are generally booked. Taxpayers may add or
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delete any of these heads but all heads of expenses on which GST has been
|
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paid / was payable are to be declared here.
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14R
|
Total ITC declared in Table 14A to 14Q above shall be auto populated here.
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14S
|
Net ITC availed as declared in the Annual Return (GSTR9) shall be declared
|
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Determined
Amount
Place:
Date:
Signature:
Name of the Appellate Authority / Revisional
|
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Authority/ Tribunal / Jurisdictional Officer
Designation:
Jurisdiction:
[F.No.20/06/16/2018-GST]
(Dr. Sreeparvathy S.L.)
Under Secretary to the Government of India
Note:- The principal rules were published in the Gazette of India, Extraordinary, Part II, Section 3, Sub-section (i) vide notification No. 3/2017-Central Tax, dated the 19th June,2017, published vide number G.S.R 610 (E), dated the 19th June, 2017 and last amended vide notification No. 60/2018 - Central Tax, dated the 30th October, 2018, published vide number G.S.R 1075 (E), dated the 30th October, 2018.
rong>SELF- DECLARATION [rule 89(2)(l)]
I ____________________ (Applicant) having GSTIN/ temporary Id -------, solemnly affirm and certify that in respect of the refund amounting to Rs. ---/ with respect to the tax, interest, or any other amount for the period from---to----, claimed in the refund application, the incidence of such tax and interest has not been passed on to any other person.
Signature
Name –
Designation / Status
(This Declaration is not required to be furnished by applicants, who are claiming refund under clause (a) or clause (b) or clause (c) or clause (d) or clause (f) of sub-section (8) of section 54.)
- Verification
I/We <Taxpayer Name> hereby solemnly affirm and declare that the information given herein above is true and correct to the best of my/our knowledge and belief and nothing has been concealed therefrom.
I/We declare that no refund on this account has been received by me/us earlier.
Place
Date
Signature of Authorised Signatory
(Name)
Designation/ Status
Annexure-1
Statement -1 [rule 89(5)]
Refund Type: ITC accumulated due to inverted tax structure [clause (ii) of first proviso to section 54(3)]
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(Amount in Rs.)
|
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Turnover of
|
Tax payable
|
Adjusted
|
Net input tax
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Maximum refund
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(iv)
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Any other order
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(specify)
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Reason 2
|
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<<Text>>
|
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C
|
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Reason 3
|
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<<Text>>
|
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11
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Additional amount payable but not paid (due to reasons specified under Tables
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6,8 and 10 above)
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here. Table 7J of the Annual Return (GSTR9) may be used for filing this
|
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Table.
|
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15 Reasons for non-reconciliation between ITC availed on the various expenses declared in Table 14R and ITC declared in Table 14S shall be specified here.
16 Any amount which is payable due to reasons specified in Table 13 and 15 above shall be declared here.
- Part V consists of the auditor‘s recommendation on the additional liability to be discharged by the taxpayer due to non-reconciliation of turnover or non-reconciliation of input tax credit. The auditor shall also recommend if there is any other amount to be paid for supplies not included in the Annual Return. Any refund which has been erroneously taken and shall be paid back to the Government shall also be declared in this table. Lastly, any other outstanding demands which is recommended to be settled by the auditor shall be declared in this Table.
- Towards the end of the return, taxpayers shall be given an option to pay any additional liability declared in this form, through FORM DRC-03. Taxpayers shall select
?Reconciliation Statement? in the drop down provided in FORM DRC-03. It may be noted that such liability shall be paid through electronic cash ledger only.
PART – B- CERTIFICATION
- I. &nbs>
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Inward supplies on which tax
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G
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is to be paid on reverse charge
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basis
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H
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Sub-total (A to G above)
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" width="56">
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Inward supplies liable to reverse
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13
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charge reduced through
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Amendments (-) (net of credit
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notes)
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14
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|
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Differential tax paid on account of declaration made in 10, 11, 12 & 13 above
|
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Description
|
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Payable
|
Paid
|
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| |
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Credit Notes issued in respect
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I
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of transactions specified in (B)
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&nbp; Certification in cases where the reconciliation statement (FORM GSTR-9C) is drawn up by the person who had conducted the audit:
* I/we have examined the—
(a) balance sheet as on ………
(b) the *profit and loss account/income and expenditure account for the period beginning from ………..…to ending on ……., and
(c) the cash flow statement for the period beginning from ……..…to ending on ………, — attached herewith, of M/s …………… (Name), …………………….………… (Address),
..…………………(GSTIN).
2. Based on our audit I/we report that the said registered person—
*has maintained the books of accounts, records and documents as required by the IGST/CGST/<<>>GST Act, 2017 and the rules/notifications made/issued thereunder
*has not maintained the following accounts/records/documents as required by the IGST/CGST/<<>>GST Act, 2017 and the rules/notifications made/issued thereunder:
1.
2.
3.
3. (a) *I/we report the following observations/ comments / discrepancies / inconsistencies; if any:
…………………………………….
…………………………………….
3. (b) *I/we further report that, -
|
(A) *I/we have obtained all the information and explanations which, to the best of *my/our knowledge and belief, were necessary for the purpose of the audit/ information and explanations which, to the best of *my/our knowledge and belief, were necessary for the purpose of the audit were not provided/partially provided to us.
(B) In *my/our opinion, proper books of account *have/have not been kept by the registered person so far as appears from*my/ our examination of the books.
(C) I/we certify that the balance sheet, the *profit and loss/income and expenditure account and the cash flow Statement are *in agreement/not in agreement with the books of account maintained at the Principal place of business at ……………………and **
……………………additional place of business within the State.
4. The documents required to be furnished under section 35 (5) of the CGST Act/SGST Act and Reconciliation Statement required to be furnished under section 44(2) of the CGST Act/SGST Act is annexed herewith in Form No. GSTR-9C.
5. In *my/our opinion and to the best of *my/our information and according to explanations given to *me/us, the particulars given in the said Form No.GSTR-9C are true and correct subject to following observations/qualifications, if any:
(a) ……………………………………………………………………………………
(b) ……………………………………………………………………………………
(c) ……………………………………………………………………………………
………………………………………
………………………………………
**(Signature and stamp/Seal of the Auditor)
Place: ……………
Name of the signatory …………………
Membership No……………… Date: ……………
Full address ………………………
II. Certification in cases where the reconciliation statement (FORM GSTR-9C) is drawn up by a person other than the person who had conducted the audit of the accounts: *I/we report that the audit of the books of accounts and the financial statements of M/s.
………...........…………………. (Name and address of the assessee with GSTIN) was conducted by M/s. …………………………………………..………. (full name and address of auditor along with status), bearing membership number in pursuance of the provisions of the …………………………….Act, and *I/we annex hereto a copy of their audit report dated
……………………………. along with a copy of each of :-
(a) balance sheet as on ………
(b) the *profit and loss account/income and expenditure account for the period beginning from ………..…to ending on …….,
(c) the cash flow statement for the period beginning from ……..…to ending on ………, and
(d) documents declared by the said Act to be part of, or annexed to, the *profit and loss account/income and expenditure account and balance sheet.
2. I/we report that the said registered person—
*has maintained the books of accounts, records and documents as required by the IGST/CGST/<<>>GST Act, 2017 and the rules/notifications made/issued thereunder
*has not maintained the following accounts/records/documents as required by the IGST/CGST/<<>>GST Act, 2017 and the rules/notifications made/issued thereunder: 1.
2.
3.
- The documents required to be furnished under section 35 (5) of the CGST Act/SGST Act and Reconciliation Statement required to be furnished under section 44(2) of the CGST Act/SGST Act is annexed herewith in Form No.GSTR-9C.
- In *my/our opinion and to the best of *my/our information and according to examination of books of account including other relevant documents and explanations given to *me/us, the particulars given in the said Form No.9C are true and correct subject to the following observations/qualifications, if any:
(a) …………………………….…………………………….………………………
(b) …………………………….…………………………….………………………
(c) …………………………….…………………………….………………………
………………………………………
**(Signature and stamp/Seal of the Auditor)
Place: ……………
Name of the signatory …………………
Membership No……………… Date: ……………
Full address ………………………?.
- In the said rules, after FORM GST APL-03, the following form shall be inserted, namely:-
?FORM GST RVN-01
[See rule 109B]
To,
………………………………………..
………………………………………..
………………………………………..
GSTIN:……………………………….
Order No. –
Date -
Notice under section 108
Whereas it has come to the notice of the undersigned that decision/order passed under this Act/ the << Name of thttom" width="80">
To be paid through Cash
Central
State tax
Integrated tax
Cess, if
Description
Taxable Value
tax
/ UT tax
applicable
5
1
2
3
4
(i)
Tax paid on an intra-State supply which is subsequently held to be
inter-State supply and vice versa (change of POS)
(j)
Excess payment of tax, if any
(k) Any other (specify)
[DECLARATION [second proviso to section 54(3)]
I hereby declare that the goods exported are not subject to any export duty. I also declare that I have not availed any drawback of central excise duty/service tax/central tax on goods or services or both and that I have not claimed refund of the integrated tax paid on supplies in respect of which refund is claimed.
Signature
Name –
Designation / Status].
DECLARATION [section 54(3)(ii)]
I hereby declare that the refund of ITC claimed in the application does not include ITC availed on goods or services used for making =nil‘ rated or fully exempt supplies.
Signature
Name –
Designation / Status
DECLARATION [rule 89(2)(f)]
I hereby declare that the Special Economic Zone unit /the Special Economic Zone developer has not availed of the input tax credit of the tax paid by the applicant, covered under this refund claim.
Signature
Name –
Designation / Status
DECLARATION [rule 89(2)(g)]
(For recipient/supplier of deemed export)
In case refund claimed by recipient
I hereby declare that the refund has been claimed only for those invoices which have been detailed in statement 5B for the tax period for which refund is being claimed and the amount does not exceed the amount of input tax credit availed in the valid return filed for the said tax period.I also declare that the supplier has not claimed refund with respect to the said supplies. In case refund claimed by supplier
I hereby declare that the refund has been claimed only for those invoices which have been detailed in statement 5B for the tax period for which refund is being claimed and the recipient shall not claim any refund with respect of the said supplies and also, the recipient has not availed any input tax credit on such supplies.
Signature
Name –
Designation / Status
UNDERTAKING
I hereby undertake to pay back to the Government the amount of refund sanctioned along with interest in case it is found subsequently that the requirements of clause (c) of sub-section (2) of section 16 read with sub-section (2) of section 42 of the CGST/SGST Act have not been complied with in respect of the amount refunded.
Signature
Name –
Designation / Status
SELF- DECLARATION [rule 89(2)(l)]
I/We ____________________ (Applicant) having GSTIN/ temporary Id -------, solemnly affirm and certify that in respect of the refund amounting to Rs. ---/ with respect to the tax, interest, or any other amount for the period from---to----, claimed in the refund application, the incidence of such tax and interest has not been passed on to any other person.
Signature
Name –
Designation / Status
(This Declaration is not required to be furnished by applicants, who are claiming refund under clause (a) or clause (b) or clause (c) or clause (d) or clause (f) of sub-section (8) of section 54.)
8. Verification
I/We<Taxpayer Name> hereby solemnly affirm and declare that the information given herein above is true and correct to the best of my/our kndth="5">
6
5%
12%
18%
I/We declare that no refund on this account has been received by me/us earlier.
Place
Date
Signature of Authorised Signatory
(Name)
Designation/ Status
Annexure-1
Statement -1 [rule 89(5)]
Refund Type: ITC accumulated due to inverted tax structure [clause (ii) of first proviso to section 54(3)]
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(Amount in Rs.)
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Turnover of
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Tax payable
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Adjusted
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Net input tax
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Maximum refund
|
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inverted rated
|
on such
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total
|
credit
|
amount to be
|
|
supply of
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inverted rated
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turnover
|
|
claimed
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|
goods and
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supply of
|
|
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[(1×4÷3)-2]
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services
|
goods and
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services
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|
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|
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1
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2
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3
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4
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5
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|
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|
|
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|
Statement 1A [rule 89(2)(h)]
Refund Type: ITC accumulated due to inverted tax structure [clause (ii) of first proviso to section 54(3)]
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Sl
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Details of invoices
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Tax paid on
|
Details of invoices of
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Tax paid on
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.
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of inward supplies
|
inward supplies of
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outward supplies
|
outward supplies
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N
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of inputs received
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inputs
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issued
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o.
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|
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|
GS
|
N
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D
|
Tax
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Integ
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Cen
|
Stat
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N
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D
|
Tax
|
Invoic
|
Integ
|
Cen
|
Stat
|
|
|
|
|
|
inverted rated
|
on such
|
total
|
credit
|
amount to be
|
|
supply of
|
inverted rated
|
turnover
|
|
claimed
|
|
goods and
|
supply of
|
|
|
[(1×4÷3)-2]
|
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services
|
goods and
|
|
|
|
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services
|
|
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|
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1
|
2
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3
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4
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5
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|
Statement 1A [rule 89(2)(h)]
Refund Type: ITC accumulated due to inverted tax structure [clause (ii) of first proviso to section 54(3)]
|
Sl
|
Details of invoices of
|
Tax paid on
|
Details of invoices of
|
Tax paid on
|
|
.
|
inward supplies of
|
inward supplies
|
outward supplies issued
|
outward supplies
|
|
N
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inputs received
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of inputs
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o.
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GST
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N
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Da
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Taxa
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Inte
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Cen
|
State
|
Goods and Services Tax Act, 2017/the Integrated Goods and Services Tax Act, 2017/ the Union territory Goods and Services Tax Act, 2017/ the Goods and Services Tax (Compensation to States) Act, 2017 by ……………..(Designation of officer) is erroneous in so far as it is prejudicial to the interest of revenue and is illegal or improper or has not taken into account certain material facts, and therefore, I intend to pass an order in revision under section 108 on grounds specified in the document attached herewith. |
You are hereby directed to furnish a reply to this notice within seven working days from the date of service of this notice.
You are hereby directed to appear before the undersigned on DD/MM/YYYY at HH/MM
If you fail to furnish a reply within the stipulated date or fail to appear for personal hearing on the appointed date and time, the case will be decided ex parte on the basis of available records and on merits
Date:
Designation:
Jurisdiction / Office –.?.
- In the said rules, for FORM GST APL-04, the following form shall be substituted, namely:-
?Form GST APL-04
[See rules 109B, sp;
to (E) above (-)
Debit Notes issued in respect
J
of transactions specified in (B)
to (E) above (+)
Supplies / tax declared
K
through Amendments (+)
SUMMARY OF THE DEMAND AFTER ISSUE OF ORDER BY THE APPELLATE AUTHORITY, REVISIONAL AUTHORITY, TRIBUNAL OR COURT
1. GSTIN/ Temporary
ID/UIN -
- Name of the appellant / person -
- Address of the appellant / person-
|
4.
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Order appealed against or intended to be revised -
|
Number-
|
Date-
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5.
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Appeal no.
|
Date-
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- Personal Hearing –
- Order in brief-
- Status of order- Confirmed / Modified / Rejected
- Amount of demand after appeal / revision:
|
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Particu
|
|
Central tax
|
|
State / UT tax
|
Integrated tax
|
|
Cess
|
|
Total
|
|
|
lars
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
1
|
|
|
|
|
2
|
|
3
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Integrated Tax
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Central Tax
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
State/UT Tax
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Cess
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Interest
|
|
|
|
|
|
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Pt. V
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Other Information
|
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15
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Particulars of Demands and Refunds
|
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|
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Descriptio
|
|
Central
|
|
State Tax
|
|
Integrate
|
Cess
|
|
|
Interes
|
Penalty
|
|
Late
|
|
|
|
|
|
n
|
|
Tax
|
|
/ UT Tax
|
|
d Tax
|
|
|
|
t
|
|
|
Fee /
|
|
|
|
|
|
|
|
|
|
|
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|
TIN
|
o.
|
at
|
able
|
rated
|
|
tral
|
e
|
o.
|
|
at
|
able
|
e type
|
rated
|
tral
|
e
|
|
|
of
|
|
e
|
Val
|
Tax
|
|
Tax
|
Tax
|
|
|
e
|
Val
|
(B2B/
|
Tax
|
Tax
|
Tax
|
|
|
the
|
|
|
ue
|
|
|
|
/Uni
|
|
|
|
ue
|
B2C)
|
|
|
/Uni
|
|
|
sup
|
|
|
|
|
|
|
on
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
28%
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
3%
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
0.25%
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
0.10%
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Interest
|
|
|
|
width="5">
|
|
|
|
|
|
on
|
|
|
plier
|
|
|
|
|
|
|
terri
|
|
|
|
|
|
|
|
terri
|
|
|
*
|
|
|
|
|
|
|
tory
|
|
|
|
|
|
|
|
tory
|
|
|
|
|
|
|
|
|
&bottom" width="35">
No
|
D
|
Tax
|
Invoic
|
Int
|
Cent
|
State
|
|
|
|
|
|
IN
|
o.
|
te
|
ble
|
grat
|
|
tral
|
Tax
|
.
|
at
|
able
|
e type
|
egr
|
ral
|
Tax
|
|
|
of
|
|
|
Valu
|
ed
|
|
Tax
|
/Uni
|
|
e
|
Valu
|
(B2B/
|
ate
|
Tax
|
/Uni
|
|
|
the
|
|
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