FORM-GST-RFD-01

[See rule 89(I)J

Application for Refund

Select: Registered / Casual/ Unregistered/Non-resident taxable person

1. GSTIN/Temporary ID:
2. Legal Name:
3. Trade Name, if any:
4. Address:
5. Tax Period: From <DD/MM/YY> To <DD/MM/YY>

6. Amount of Refund Claimed:

Act Tax Interest Penalty Fees Others Total

Central Tax
State /UT Tax
Integrated Tax
Cess
Total

7. Grounds of Refund Claim: (select from the drop down):

a. Excess balance in Electronic Cash ledger
b. Exports of services- With payment of Tax
c. Exports of goods / services- Without payment of Tax, i.e., ITC accumulated
d. On account of assessment/provisional assessment/ appeal/ any other order
i. Select the type of Order:
Assessment/ Provisional Assessment/ Appeal/ Others

ii. Mention the following details:

1. Order No.
2. Order Date <calendar>
3. Order Issuing Authority
4. Payment Reference No. (of the amount to be claimed as refund)
(!f Order is issued within the system, then 2, 3, 4 will be auto populated)

e. ITC accumulated due to inverted tax structure (clause (ii) of proviso to section 54(3)
f. On account of supplies made to SEZ unit/ SEZ Developer or Recipient of Deemed Exports
(Select the type of supplier/ recipient)
1. Supplies to SEZ Unit
2. Supplies to SEZ Developer
3. Recipient of Deemed Exports
g. Refund of accumulated ITC on account of supplies made to SEZ unit/ SEZ Developer

10
 h. Tax paid on a supply which is not provided, either wholly or partially, and for which invoice
has not been issued
i. Tax paid on an intra-State supply which is subsequently held to be inter-State supply and vice
versa
J. Excess payment of tax, if any
k. Any other (specify)
8. Details of Bank Account (to be auto populated from RC in case of registered taxpayer)
a. Bank Account Number :
b. Name of the Bank :
c. Bank Account Type :
d. Name of account holder :
e. Address of Bank Branch :
f. IFSC :
g. MICR :

9. Whether Self-Declaration filed by Applicant u/s 54(4), if applicable Yes No

DECLARATION

I hereby declare that the goods exported are not subJect to any export duty. I also
declare that I have not availed any drawback 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
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

11
 DECLARATION
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

SELF- DECLARATION

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.

(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..)

10. 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.

We declare that no refund on this account has been received by us earlier.

Place Signature of Authorised Signatory

Date (Name)

Designation/ Status

12
 Statement -1
(Annexure 1)
Refund Type: ITC accumulated due to inverted tax structure [clause (ii) of proviso to section 54(3)]

Part A: Outward Supplies

(GSTR- 1: Table 4 and 5)

GSTIN/ UIN Invoice details Rate Taxable Amount Place of Supply

No. Date Value value Integrated Tax Central Tax State / UT Tax Cess (Name of State)
1 2 3 4 5 6 7 8 9 10 11

Part B: Inward Supplies

[GSTR 2: Table 3 (Matched Invoices)]

GSTIN Invoice details Rate Taxable Amount of Tax Place of Whether input or input Amount of ITC available
value supply service/ Capital goods
of (incl plant and Integrated Central State/ Cess
supplier (Name machinery)/ Ineligible for Tax Tax
of State) UT
No Date Value Integrated Central State/ CESS ITC Tax
tax UT
Tax Tax

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16

Note -The data shall be auto- populated from GSTR-I and GSTR-2.

13
 Statement- 2

Refund Type: Exports of services with payment of tax

(GSTR- 1: Table 6A and Table 9)

1.
GSTIN Invoice details Integrated Tax BRC/ FIRC Amended Debit Note Credit Note Net Integrated
of Value Integrated Integrated Tax Tax
recipien SAC Taxable . (Integrated Tax / / Amended = (11/8)+12-13
No. Date Value Rate Amt. Date
t value No. Tax) Amended (If any)
(If Any) (If any)
1 2 3 4 5 6 7 8 9 10 11 12 13 14
6A. Exports

BRC/ F!RC details are mandatory- in case of services

14
 Statement- 3

Refund Type: Export without payment of Tax-Accumulated ITC

(GSTR- 1: Table 6A)

GSTIN of Invoice details Shipping bill/ Bill of export Integrated Tax EGM Details BRC/ FIRC
recipient No. Date Value Goods/ HSN/ UQC QTY No. Date Port Code Rate Taxable Amt. Ref No. Date No. Date
Services SAC value
(G/S)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
6A. Exports

Note - I. Shipping Bill and EGM are mandatory; - in case of goods.

2. BRC/ F!RC details are mandatory- in case of Services

15
 Statement 4

Supplies to SEZ/ SEZ developer

Refund Type: On account of supplies made to SEZ unit/ SEZ Developer

(GSTR- 1: Table 6B and Table 9)

GSTIN of Invoice details Shipping bill/ Bill of Integrated Tax Amended Debit Note Credit Note Net Integrated
recipient export Value Integrated Integrated Tax / Tax
(Integrated Tax / Amended = (10/ 9 ) + 11
Tax) Amended (If any) - 12
(If Any) (If any)
No. Date Value No Date Rate Taxable Amt. Amt. Amt. Amt. Amt.
Value
1 2 3 4 5 6 7 8 9 10 11 12 13
6B: Supplies made to SEZ/ SEZ developer

(GSTR- 5: Table 5 and Table 8)

GSTIN/ Invoice details Rate Taxable Amount Place of Amended Debit Note Credit Note Net Integrated
UIN No. Date Value value Integrated Central State / Cess Supply Value Integrated Integrated Tax
Tax Tax UT (Name (Integrated Tax / Tax / = (12/ 7 ) + 13
Tax of State) Tax) Amended Amended - 14
(If Any) (If any) (If any)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15

16
 Statement 5

Recipient of Deemed exports etc.

(GSTR-2: Table 3 and Table 6)

GSTI Invoice details Ra Taxa Amount of Tax Plac Whether Amount of ITC available Amend Debit Credit Net
N te ble e of input or ed Note Note ITC
value supp input Value Integra
of ly service/ ITC ITC ted Tax
suppl Capital (ITC Integra Integra
ier (Na goods Integra ted Tax ted Tax = (17/
me (incl ted Tax / / 7)+
of plant ) Amend Amend 18 - 19
State and ed ed
) Integra Cent Stat Ce (If
machine ral Any) (If any) (If any)
ted Tax e/ ss
N Da Val Integra Cent Stat CE ry)/ Tax
o te ue ted tax ral e/ SS Ineligibl UT
e for Tax
Tax UT ITC
Tax

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20

17
 Statement 6:

Refund Type: Tax paid on an intra-State supply which is subsequently held to be inter-State supply and vice versa

Order Details (issued in pursuance of Section 77 (1) and (2), if any:

Order No: Order Date:

GSTIN/ Details of invoice covering transaction considered as intra -State / inter-State transaction Transaction which were held inter State / intra-State supply
UIN earlier subsequently

Name
Invoice details Integrated Central State/ UT Cess Place of Supply Integrated Central State/ UT Cess Place of Supply
(in case (only if different from (only if different from
Tax Tax Tax Tax Tax Tax
B2C) the location the location
No. Date Value Taxable Amt Amt Amt Amt of recipient) Amt Amt Amt Amt of recipient)

Value

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15

18
 Statement 7:

Refund Type: Excess payment of tax, if any in case of Last Return filed.

Refund on account excess payment of tax

(In case of taxpayer who filed last return GSTR-3 - table 12)

Sr. No. Tax period Reference no. of return Date of filing return Tax Payable

Integrated Tax Central Tax State/ UTTax Cess

1 2 3 4 5 6 7 8

19
 Annexure-2

Certificate

This is to certify that in respect of the refund amounting to INR << >> -------------- (in words) claimed by M/s -
---------------- (Applicant's Name) GSTIN/ Temporary ID------- for the tax period < ---->, the incidence of tax and
interest, has not been passed on to any other person. This certificate is based on the examination of the Books of
Accounts, and other relevant records and Returns particulars maintained/ furnished by the applicant.

Signature of the Chartered Accountant/ Cost Accountant:

Name:

Membership Number:

Place:

Date:

This Certificate is not required to be furnished by the applicant, claiming refund under clause (a) or clause (b) or
clause (c) or clause (d) or clause (f) of sub-section (8) of section 54 of the Act.

20
 FORM-GST-RFD-02
[See rules 90(I), 90(2) and 95(2)J

Acknowledgment

Your application for refund is hereby acknowledged against <Application Reference Number>

Acknowledgement Number :

Date of Acknowledgement :

GSTIN/ UIN/ Temporary ID, if applicable :

Applicant's Name :

Form No. :

Form Description :

Jurisdiction (tick appropriate) :

Centre State/ Union Territory:

Filed by :

Refund Application Details

Tax Period

Date and Time of Filing

Reason for Refund

Amount of Refund Claimed:

Tax Interest Penalty Fees Others Total

Central Tax
State /UT tax
Integrated Tax
Cess
Total

Note I: The status of the application can be viewed by entering ARN through <Refund> Track Application
Status" on the GST System Portal.

Note 2: !t is a system generated acknowledgement and does not require any signature.

21
 FORM-GST-RFD-04
[See rule 9I(2)J
Sanction Order No: Date: <DD/MM/YYYY>

To
(GSTIN)

(Name)

(Address)

Provisional Refund Order

Refund Application Reference No. (ARN) ....Dated ...<DD/MM/YYYY>..-

Acknowledgement No. ....Dated ...<DD/MM/YYYY>.....

Sir/Madam,
With reference to your above mentioned application for refund, the following amount is sanctioned to you on a
provisional basis:

Sr. Description Central State /UT Integrated Tax Cess

No Tax tax
Amount of refund claimed
i.
10% of the
ii.
amount claimed as
refund
(to be sanctioned
Balance later)
amount (i-ii)
iii.
Amount of refund
iv.
sanctione
d Bank Details
Bank Account No. as per
v.
application
Name of the Bank
vi.
Address of the Bank
vii.
/Branch
IFSC
viii.
MICR
ix.

Date: Signature (DSC):

Place: Name:
Designation:
Office Address:

22
 FORM-GST-RFD-05
[See rule 9I(3), 92(4), 92(5) & 94J

Payment Advice
Payment Advice No: - Date: <DD/MM/YYYY>

To <Centre> PAO/ Treasury/ RBI/ Bank

Refund Sanction Order No. .....

Order Date..<DD/MM/YYYY>....

GSTIN/ UIN/ Temporary ID < >

Name: < >

Refund Amount (as per Order):

escription Integrated Tax Central Tax State/ UT tax Cess

T I P F O Total T I P F O Total T I P F O Total T I P F O Total

Net
Refund
amount
sanction
ed
Interest
on
delaye
d
Refund
Total
Note - 'T' stands Tax; 'I' stands for Interest; 'P' stands for Penalty; 'F' stands for Fee and 'O' stands for Others

Details of the Bank

Bank Account no as per application
i.
Name of the Bank
ii.
Name and Address of the Bank /branch
iii.
IFSC
iv.
MICR
v.
Date: Signature (DSC):
Place: Name:
Designation:
Office Address:
To
(GSTIN/ UIN/ Temporary ID)

(Name)

23
 (Address)

24
 FORM-GST-RFD-06
[See rule 92(I), 92(3), 92(4), 92(5) & 96(7)J
Order No.: Date: <DD/MM/YYYY>

To

(GSTIN/ UIN/ Temporary ID)

(Name)

(Address)

Show cause notice No. (If applicable)

Acknowledgement No. .... Dated ...<DD/MM/YYYY>

Refund Sanction/Rejection Order

Sir/Madam,
This has reference to your above mentioned application for refund filed under section 54 of the Act*/ interest on refund*.
<< reasons, if any, for granting or reJecting refund >>
Upon examination of your application, the amount of refund sanctioned to you, after adJustment of dues (where applicable) is as follows:
*Strike out whichever is not applicable

Description Integrated Tax Central Tax State/ UT tax Cess

T I P F O Total T I P F O Total T I P F O Total T I P F O Total

25
 1. Amount of refund/interest*
claimed
2. Refund sanctioned on provisional
basis (Order No..date) (if
applicable)
3. Refund amount inadmissible
<<reason dropdown>>
<Multiple reasons to be allowed>
4. Gross amount to be paid (1-2-3)
5. Amount adJusted against
outstanding demand (if any) under the
existing law or under the Act.
Demand Order No.. date..,
Act Period
<Multiple rows possible- add row to
be given>
6. Net amount to be paid
Note - 'T' stands Tax; 'I' stands for Interest; 'P' stands for Penalty; 'F' stands for Fee and 'O' stands for Others
*Strike out whichever is not applicable
&
1. I hereby sanction an amount of INR to M/s having GSTIN under sub-section (5) of section 54) of the Act/under section 56 of the Act@
@
Strike out whichever is not applicable
#
(a) and the amount is to be paid to the bank account specified by him in his application;
(b) the amount is to be adJusted towards recovery of arrears as specified at serial number 5 of the Table above;
(c) an amount of -----rupees is to be adJusted towards recovery of arrears as specified at serial number 5 of the Table above and the remaining amount of ----rupees is to
be paid to the bank account specified by him in his application# . .
#
Strike-out whichever is not applicable.
Or
&
2. I hereby credit an amount of INR to Consumer Welfare Fund under sub-section (.) of Section (.) of the Act. .

&
3. I hereby reJect an amount of INR to M/s having GSTIN under sub-section (.) of Section (.) of the Act.

26
&
Strike-out whichever is not applicable

Date: Signature (DSC):

Place: Name:
Designation:
Office Address:

27
 FORM-GST-RFD-07
[See rule 92(I), 92(2) & 96(6)J
Reference No. Date: <DD/MM/YYYY>

To
(GSTIN/UIN/[Link] No.)

(Name)

(Address)

Acknowledgement No. .... Dated...<DD/MM/YYYY>...

Order for Complete adjustment of sanctioned Refund

Part- A

Sir/Madam,
With reference to your refund application as referred above and further furnishing of information/ filing of
documents against the amount of refund sanctioned to you has been completely adJusted against outstanding
demands as per details below:

Refund Calculation Integrate Central State/ UT Cess

d Tax Tax Tax
Amount of Refund claimed
i.
Net Refund Sanctioned on Provisional Basis
ii.
(Order [Link])
Refund amount inadmissible reJected
iii.
<<reason dropdown>>
Refund admissible (i-ii-iii)
iv.
Refund adJusted against outstanding demand
v.
(as per order no.) under existing law or under
this law. . Demand Order No.. date..
<Multiple rows may be given>

Balance amount of refund Nil Nil Nil

vi.

I hereby, order that the amount of claimed / admissible refund as shown above is completely adJusted against the
outstanding demand under this Act / under the existing law. This application stands disposed as per provisions
under sub-section (.) of Section (.) of the Act.

OR

Part-B

Order for withholding the refund

28
This has reference to your refund application referred to above and information/ documents furnished in the
matter. The amount of refund sanctioned to you has been withheld due to the following reasons:
Refund Order No.:
Date of issuance of Order:
Sr. Refund Calculation Integrate Central State/UT Tax Cess
No. d Tax Tax
Amount of Refund Sanctioned
i.
Amount of Refund Withheld
ii.
Amount of Refund Allowed
iii.

Reasons for withholding of the refund:

<<Text>>

I hereby, order that the amount of claimed / admissible refund as shown above is withheld for the above mention
reasons. This order is issued as per provisions under sub-section (.) of Section (.) of the Act.

Date: Signature (DSC):

Place: Name:
Designation:
Office Address:

29
 FORM GST RFD-10
[See rule 95(I)J

Application for Refund by any specialized agency of UN or any Multilateral Financial Institution and
Organization, Consulate or Embassy of foreign countries, etc.

1. UIN :

2. Name :

3. Address :

4. Tax Period (Quarter) : From <DD/MM/YY> To

<DD/MM/YY>

5. Amount of Refund Claim : <INR> <In Words>

Amount
Central Tax
State /UT Tax
Integrated Tax
Cess
Total

6. Details of Bank Account:

a. Bank Account Number
b. Bank Account Type
c. Name of the Bank
d. Name of the Account Holder/Operator
e. Address of Bank Branch
f. IFSC
g. MICR
7. Reference number and date of furnishing FORM GSTR-11
8. Verification
I as an authorised representative of << Name of Embassy/international organization >> 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 therefrom.
That we are eligible to claim such refund as specified agency of UNO/Multilateral Financial Institution
and Organization, Consulate or Embassy of foreign countries/ any other person/ class of persons
specified/ notified by the Government.
Date: Signature of Authorised
Signatory:
Place: Name:
Designation / Status

30
 FORM GST RFD-11
[See rule 96AJ

Furnishing of bond or Letter of Undertaking for export of goods or services

1. GSTIN

2. Name

3. Indicate the type of document furnished Bond: Letter of Undertaking

4. Details of bond furnished

Sr. No. Reference no. of the bank guarantee Date Amount Name of bank and
branch

1 2 3 4 5

Note - Hard copy of the bank guarantee and bond shall be furnished to the Jurisdictional officer.

5. Declaration -

(i) The above-mentioned bank guarantee is submitted to secure the integrated tax payable on export
of goods or services.
(ii) I undertake to renew the bank guarantee well before its expiry. In case I/We fail to do so the
department will be at liberty to get the payment from the bank against the bank guarantee.
(iii) The department will be at liberty to invoke the bank guarantee provided by us to cover the
amount of integrated tax payable in respect of export of goods or services.
Signature of Authorized Signatory

Name
Designation / Status -------
Date ----------

31
 Bond for export of goods or services without payment of integrated tax
(See rule 96A)

I/We.................of....................,hereinafter called "obligor(s)", am/are held and firmly bound to the President of India
(hereinafter called "the President") in the sum of......................rupees to be paid to the President for which payment will and
truly to be made.

I/We Jointly and severally bind myself/ourselves and my/our respective heirs/ executors/ administrators/ legal
representatives/successors and assigns by these presents; Dated this...................day of....................;

WHEREAS the above bounden obligor has been permitted from time to time to supply goods or services for export out of
India without payment of integrated tax;
and whereas the obligor desires to export goods or services in accordance with the provisions of clause (a) of sub-section (3)
of section 16;

AND WHEREAS the Commissioner has required the obligor to furnish bank guarantee for an amount
of............................................ rupees endorsed in favour of the President and whereas the obligor has furnished such guarantee
by depositing with the Commissioner the bank guarantee as afore mentioned;
The condition of this bond is that the obligor and his representative observe all the provisions of the Act in respect of export
of goods or services, and rules made thereunder;

AND if the relevant and specific goods or services are duly exported;
AND if all dues of Integrated tax and all other lawful charges, are duly paid to the Government along with interest, if any,
within fifteen days of the date of demand thereof being made in writing by the said officer, this obligation shall be void;

OTHERWISE and on breach or failure in the performance of any part of this condition, the same shall be in full force and
virtue:

AND the President shall, at his option, be competent to make good all the loss and damages, from the amount of bank
guarantee or by endorsing his rights under the above-written bond or both;

I/We further declare that this bond is given under the orders of the Government for the performance of an act in which the
public are interested;

IN THE WITNESS THEREOF these presents have been signed the day hereinbefore written by the obligor(s).

Signature(s) of obligor(s).
Date :
Place :

Witnesses
(1) Name and Address Occupation
(2) Name and Address Occupation

Accepted by me this.............................day of ......................... (month)..................... (year)

..............of ....... (Designation)
for and on behalf of the President of India.".

32
 Letter of Undertaking for export of goods or services without payment of integrated tax
(See rule 96A)

To

The President of India (hereinafter called the "President"), acting through the proper officer

I/We .................................. of............................... (address of the registered person) having Goods &
Services Tax Identification Number No................ , hereinafter called "the
undertaker(s) including my/our respective heirs, executors/ administrators, legal representatives/successors and
assigns by these presents, hereby Jointly and severally undertake on this .................. day of ................... to the
President

(a) to export the goods or services supplied without payment of integrated tax within time specified in sub-rule
(1) of rule 96A ;

(b) to observes all the provisions of the Goods and Services Tax Act and rules made thereunder, in respect of
export of goods or services;

(c) pay the integrated tax, thereon in the event of failure to export the goods or services, along with an amount
equal to eighteen percent interest per annum on the amount of tax not paid, from the date of invoice till the date
of payment.

I/We declare that this undertaking is given under the orders of the proper officer for the performance of enacts in
which the public are interested.

IN THE WITNESS THEREOF these presents have been signed the day hereinbefore written by the undertaker(s)

Signature(s) of undertaker(s).

Date :
Place :

Witnesses
(1) Name and Address Occupation
(2) Name and Address Occupation
Date
Place

Accepted by me this.............................day of ......................... (month)..................... (year)

..............of .......
(Designation)
for and on behalf of the President of India

33
34
 FORM GST INS-1
AUTHORISATION FOR INSPECTION OR SEARCH
[See rule I39 (I)J
To
.............
............
(Name and Designation of officer)
Whereas information has been presented before me and I have reasons to believe
that-

A. M/s.

has suppressed transactions relating to supply of goods and/or services

has suppressed transactions relating to the stock of goods in hand,
has claimed input tax credit in excess of his entitlement under the Act
has claimed refund in excess of his entitlement under the Act
has indulged in contravention of the provisions of this Act or rules made thereunder to
evade tax under this Act;

OR

B. M/s.

is engaged in the business of transporting goods that have escaped payment of tax
is an owner or operator of a warehouse or a godown or a place where goods that have
escaped payment of tax have been stored
has kept accounts or goods in such a manner as is likely to cause evasion of tax payable
under this Act.

OR

C.

goods liable to confiscation / documents relevant to the proceedings under the Act are
secreted in the business/residential premises detailed herein below
<<Details of the Premises>

Therefore,-

in exercise of the powers conferred upon me under sub-section (1) of section 67 of the Act,
I authorize and require you to inspect the premises belonging to the above mentioned
person with such assistance as may be necessary for inspection of goods or documents
and/or any other things relevant to the proceedings under the said Act and rules made
thereunder.

OR

in exercise of the powers conferred upon me under sub-section (2) of section 67 of the Act,
I authorize and require you to search the above premises with such assistance as may be

35
 necessary, and if any goods or documents and/or other things relevant to the proceedings
under the Act are found, to seize and produce the same forthwith before me for further
action under the Act and rules made thereunder.

Any attempt on the part of the person to mislead, tamper with the evidence, refusal to answer
the questions relevant to inspection / search operations, making of false statement or providing
false evidence is punishable with imprisonment and /or fine under the Act read with section
179, 181, 191 and 418 of the Indian Penal Code.

Given under my hand & seal this .... day of ... (month) 20.. (year). Valid for
.. day(s).

Seal

Place Signature, Name and designation of the

issuing authority

Name, Designation & Signature of the Inspection Officer/s

(i)
(ii)

36
 FORM GST INS-02
ORDER OF SEIZURE
[See rule I39 (2)J

Whereas an inspection under sub-section (1)/search under sub-section (2) of Section 67

was conducted by me on / / at : AM/PM in the following premise(s):

<<Details of premises>>

which is/are a place/places of business/premises belonging to:

<<Name of Person>>
<<GSTIN, if registered>>

in the presence of following witness(es):

1. <<Name and address>>

2. <<Name and address>>

and on scrutiny of the books of accounts, registers, documents / papers and goods found during
the inspection/search, I have reasons to believe that certain goods liable to confiscation and/or
documents and/or books and/or things useful for or relevant to proceedings under this Act are
secreted in place(s) mentioned above.

Therefore, in exercise of the powers conferred upon me under sub-section (2) of section
67, I hereby seize the following goods/ books/ documents and things:

A) Details of Goods seized:

Sr. Descriptio Quantity or units Make/mark or Remarks

No n of model
1 goods
2 5
3 4

B) Details of books / documents / things seized:

37
 Sr. Description No. of books / Remarks
No of books / documents / documents / things
things seized seized
1 2 3 4

and these goods and or things are being handed over for safe upkeep to:

<<Name and address>>

with a direction that he shall not remove, part with, or otherwise deal with the goods or things
except with the previous permission of the undersigned.

Place: Name and Designation of the Officer

Date:

Signature of the Witnesses

Sr.
Name and address Signature
No.

1.

2.

To:

<<Name and address>>

38
 FORM GST INS-03
ORDER OF PROHIBITION
[See rule I39(4)J

Whereas an inspection under sub-section (1)/search under sub-section (2) of Section 67

was conducted on / / at : AM/PM in the following premise(s):

<<Details of premises>>

which is/are a place/places of business/premises belonging to:

<<Name of Person>>
<<GSTIN, if registered>>

in the presence of following witness(es):

1. <<Name and address>>

2. <<Name and address>>

and on scrutiny of the books of accounts, registers, documents / papers and goods found during
the inspection/search, I have reasons to believe that certain goods liable to confiscation and/or
documents and/or books and/or things useful for or relevant to proceedings under this Act are
secreted in place(s) mentioned above.

Therefore, in exercise of the powers conferred upon me under sub-section (2) of section 67, I
hereby order that you shall not/shall not cause to remove, part with, or otherwise deal with the
goods except without the previous permission of the undersigned:

Sr. Descriptio Quantity or units Make/mark or Remarks

No n of model
1 goods
2 5
3 4

Place: Name and Designation of the Officer

Date:

39
Signature of the Witnesses

Name and address Signature

1.

2.

To:

<<Name and address>>

40
 FORM GST INS-04
BOND FOR RELEASE OF GOODS SEIZED
[See rule I40(I)J

I.................of....................hereinafter called "obligor(s)" am held and firmly bound to the

President of India (hereinafter called "the President") and/or the Governor of .....(State)
(hereinafter called "the Governor") in the sum of...........................rupees to be paid to the
President / the Governor for which payment will be made. I Jointly and severally bind myself
and my heirs/ executors/ administrators/ legal representatives/successors and assigns by these
presents; dated this...................day of....................

WHEREAS in accordance with the provisions of sub-section (2) of section 67, the goods have
been seized vide order number ........dated.... having value
.....rupees involving an amount of tax of ......... rupees. On my request
the goods have been permitted to be released provisionally by the proper officer on execution
of the bond of value .......rupees and a security of ........rupees
against which cash/bank guarantee has been furnished in favour of the President/ Governor;
and

WHEREAS I undertake to produce the said goods released provisionally to me as and when
required by the proper officer duly authorized under the Act.

And if all taxes, interest, penalty, fine and other lawful charges demanded by the proper officer
are duly paid within ten days of the date of demand thereof being made in writing by the said
proper officer, this obligation shall be void.

OTHERWISE and on breach or failure in the performance of any part of this condition, the
same shall be in full force:

AND the President/Governor shall, at his option, be competent to make good all the losses and
damages from the amount of the security deposit or by endorsing his rights under the above-
written bond or both;

IN THE WITNESS THEREOF these presents have been signed the day hereinbefore written
by the obligor(s).

Signature(s) of obligor(s).
Date :

41
Place :

Witnesses

(1) Name and Address

(2) Name and Address

Date

Place

Accepted by me this.............................day of .........................(month).....................(year)

.............. (designation of officer) for and on behalf of the President
/Governor.

(Signature of the Officer)

42
 FORM GST INS-05
ORDER OF RELEASE OF GOODS/ THINGS OF PRISHABLE OR HAZARDOUS
NATURE
[See rule I4I(I)J

Whereas the following goods and/or things were seized on / / from the
following premise(s):

<<Details of premises>>

which is/are a place/places of business/premises belonging to:

<<Name of Person>>
<<GSTIN, if registered>>

Details of goods seized:

Sr. Description Quantity or units Make/mark or Remarks

No of goods model
1 2 3 4 5

and since these goods are of perishable or hazardous nature and since an amount of
Rs. (amount in words and digits), being an
amount equivalent to the:

market price of such goods or things

the amount of tax, interest and penalty that is or may become payable

has been paid, I hereby order the above mentioned goods be released forthwith.

Place: Name and Designation of the Officer

Date:

To:

<<Name and Designation>>

43
 FORM GST DRC - 01
[See rule I42(I)J
Reference No: Date:

To
GSTIN/ID
---------------------- Name
Address

Tax Period ------------- F.Y. ---------- Act -

Section / sub-section under which SCN is being issued -

SCN Reference No. ---- Date ----
Summary of Show Cause Notice

(a) Brief facts of the case

(b) Grounds

(c) Tax and other dues

(Amount in Rs.)
Sr. Tax Act Place of Tax / Others Total
No. Period supply Cess
(name of
State)
1 2 3 4 5 6 7

Total

44
 FORM GST DRC -02
[See rule I42(I)(b)J
Reference No: Date:

To
GSTIN/ID
----------------------- Name
Address

SCN Ref. No. ------- Date -

Statement Ref. No. ---- Date -
Section /sub-section under which statement is being issued -
Summary of Statement
(a) Brief facts of the case

(b) Grounds

(c) Tax and other dues

(Amount in Rs.)
Sr. Tax Act Place of Tax/ Others Total
No. Period supply Cess
(name of
State)
1 2 3 4 5 6 7

Total

45
 FORM GST DRC- 03
[See rule I42(2) & I42 (3)J
Intimation of payment made voluntarily or made against the show cause notice (SCN)
or statement

1. GSTIN
2. Name
3. Cause of payment << drop down>>
Audit, investigation, voluntary, SCN, others
(specify)
4. Section under which voluntary payment << drop down>>
is made

5. Details of show cause notice, if Reference No. Date of issue

payment is made within 30 days of its
issue
6. Financial Year
7. Details of payment made including interest and penalty, if applicable
(Amount in Rs.)
Sr. No. Tax Act Place of supply Tax/ Interest Penalty, if Total Ledger Debit Date of
Period (POS) Cess applicable utilised entry debit
(Cash / no. entry
Credit)

1 2 3 4 5 6 7 8 9 10 11

8. Reasons, if any - << Text box>>

9. Verification-
I hereby solemnly affirm and declare that the information given hereinabove is true and correct to the
best of my knowledge and belief and nothing has been concealed therefrom.
Signature of Authorized Signatory

Name

Designation / Status -------

Date -

46
 FORM GST DRC - 04
[See rule I42(2)J
Reference No: Date:

To
GSTIN/ID
----------------------- Name
Address

Tax Period ------------- F.Y. ----------

ARN - Date -

Acknowledgement of acceptance of payment made voluntarily

The payment made by you vide application referred to above is hereby acknowledged
to the extent of the amount paid and for the reasons stated therein.

Signature
Name
Designation

Copy to -

47
 FORM GST DRC- 05
[See rule I42(3)J
Reference No: Date:

To
GSTIN/ID
----------------------- Name
Address

Tax Period ------------- F.Y. ----------

SCN - Date -
ARN - Date -

Intimation of conclusion of proceedings

This has reference to the show cause notice referred to above. As you have paid the
amount of tax and other dues mentioned in the notice along with applicable interest and penalty
in accordance with the provisions of section ---- , the proceedings initiated vide the said notice
are hereby concluded.

Signature
Name
Designation

Copy to - -

48
 FORM GST DRC - 06
[See rule I42(4)J

Reply to the Show Cause Notice

1. GSTIN
2. Name
3. Details of Show Cause Referenc Date of issue
Notice e No.
4. Financial Year
5. Reply
<< Text box >>

6. Documents uploaded
<< List of documents >>

7. Option for personal hearing Yes No

8. 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 therefrom.

Signature of Authorized Signatory

Name

Designation / Status -------

Date -

49
 FORM GST DRC - 07
[See rule I42(5)J
Summary of the order

1. Details of order -
(a) Order no. (b) Order date (c) Tax period -

2. Issues involved - << drop down>>

classification, valuation, rate of tax, suppression of
turnover, excess ITC claimed, excess refund released,
place of supply, others (specify)
3. Description of goods / services -

Sr. No. HSN Description

4. Details of demand
(Amount in Rs.)
Sr. Tax Turnover Place of supply Act Tax/ Cess Interest Penalty
No. rate

1 2 3 4 5 6 7 8

5. Amount deposited

Sr. No. Tax Period Act Tax/ Cess Interest Penalty Others Total
1 2 3 4 5 6 7 8

Total

Signature
Name
Designation

Copy to - -

50
 FORM GST DRC - 08
[See rule I42(7)J
Reference No.: Date:
Rectification of Order
Preamble - << Standard >> (Applicable for orders only)
Particulars of original order
Tax period, if any
Section under which order is
passed
Order no. Date of issue
Provision assessment order Order date
no., if any
ARN, if applied for Date of ARN
rectification

Your application for rectification of the order referred to above has been found to be
satisfactory;
It has come to my notice that the above said order requires rectification;
Reason for rectification -

<< text box >>

Details of demand, if any, after rectification

(Amount in Rs.)
Sr. Tax Turnover Place of supply Act Tax/ Cess Interest Penalty
No. rate

1 2 3 4 5 6 7 8

The aforesaid order is rectified in exercise of the powers conferred under section 161 as
under:

<< text>>

To
(GSTIN/ID)
--------------------------Name
(Address )

Copy to -

51
 FORM GST DRC - 09
[See rule I43J

To

----------------

Particulars of defaulter -
GSTIN -
Name -
Demand order no.: Date:
Reference no. of recovery: Date:
Period:

Order for recovery through specified officer under section 79

Whereas a sum of Rs. << -------->> on account of tax, cess, interest and penalty is payable
under the provisions of the <<SGST/UTGST/ CGST/ IGST/ CESS>> Act by the aforesaid
person who has failed to make payment of such amount. The details of arrears are given in the
table below:
(Amount in Rs.)
Act Tax/Cess Interest Penalty Others Total
1 2 3 4 5 6
Integrated tax
Central tax
State/ UT tax
Cess
Total

<< Remarks>>

You are, hereby, required under the provisions of section 79 of the <<SGST >> Act to recover
the amount due from the << person >> as mentioned above.

Signature
Name
Designation
Place:
Date:

52
 FORM GST DRC - 10
[See rule I44(2)J

Notice for Auction of Goods under section 79 (1) (b) of the Act

Demand order no.: Date:

Period:

Whereas an order has been made by me for sale of the attached or distrained goods
specified in the Schedule below for recovery of Rs...... and interest thereon and admissible
expenditure incurred on the recovery process in accordance with the provisions of section 79.
The sale will be by public auction and the goods shall be put up for sale in the lots specified in
the Schedule. The sale will be of the right, title and interests of the defaulter. And the liabilities
and claims attached to the said properties, so far as they have been ascertained, are those
specified in the Schedule against each lot.
The auction will be held on ... at.. AM/PM. In the event the entire amount due is paid
before the date of auction, the sale will be stopped.
The price of each lot shall be paid at the time of sale or as per the directions of the proper
officer/ specified officer and in default of payment, the goods shall be again put up for auction
and resold.
Schedule

Serial No. Description of goods Quantity

1 2 3

Signature
Name
Designation
Place:
Date:

53
 FORM GST DRC - 11
[See rule I44(5) & I47(I2)J

Notice to successful bidder

To,

Please refer to Public Auction Reference no. dated . On the basis

of auction conducted on , you have been found to be a successful bidder in the
instant case.
You are hereby, required to make payment of Rs. within a period of 15 days
from the date of auction.
The possession of the goods shall be transferred to you after you have made the full payment
of the bid amount.

Signature
Name
Designation
Place:
Date:

54
 FORM GST DRC - 12
[See rule I44(5) & I47(I2J

Sale Certificate

Demand order no.: Date:

Reference no. of recovery: Date:
Period:

This is to certify that the following goods:

Schedule (Movable Goods)

Sr. No. Description of goods Quantity

1 2 3

Schedule (Immovable Goods)

Building Floor Name of Road Localit Distric Stat PIN Latitude Longitude
No./ No. the / y/ t e Code (optional) (optional)
Flat No. Premises Stree Villag
/Building t e
1 2 3 4 5 6 7 8 9 10

Schedule (Shares)
Sr. No. Name of the Company Quantity Value

1 2 3 4

have been sold to .............at..............in public

auction of the goods held for recovery of rupees --------- in accordance with the provisions of
section 79(1)(b)/(d) of the <<SGST/UTGST/ CGST/ IGST/ CESS>> Act and rules made
thereunder on --------- and the said........... (Purchaser) has been declared to
be the purchaser of the said goods at the time of sale. The sale price of the said goods was
received on....... The sale was confirmed on.........
Signature
Name
Designation
Place:
Date:

55
 FORM GST DRC - 13
[See rule I45(I)J

Notice to a third person under section 79(1) (c)

To
The

Particulars of defaulter -
GSTIN -
Name -
Demand order no.: Date:
Reference no. of recovery: Date:
Period:
Whereas a sum of Rs. << ---->> on account of tax, cess, interest and penalty is payable under
the provisions of the <<SGST / UTGST/CGST/ IGST>> Act by <<Name of Taxable person>>
holding <<GSTIN>> who has failed to make payment of such amount; and/or
It is observed that a sum of rupees -------- is due or may become due to the said taxable person
from you; or
It is observed that you hold or are likely to hold a sum of rupees ------- for or on account of the
said person.
You are hereby directed to pay a sum of rupees -------- to the Government forthwith or upon
the money becoming due or being held in compliance of the provisions contained in clause
(c)(i) of sub-section (1) of section 79 of the Act.
Please note that any payment made by you in compliance of this notice will be deemed under
section 79 of the Act to have been made under the authority of the said taxable person and the
certificate from the government in FORM GST DRC - 14 will constitute a good and sufficient
discharge of your liability to such person to the extent of the amount specified in the certificate.
Also, please note that if you discharge any liability to the said taxable person after receipt of
this notice, you will be personally liable to the State /Central Government under section 79 of
the Act to the extent of the liability discharged, or to the extent of the liability of the taxable
person for tax, cess, interest and penalty, whichever is less.
Please note that, in case you fail to make payment in pursuance of this notice, you shall be
deemed to be a defaulter in respect of the amount specified in the notice and consequences of
the Act or the rules made thereunder shall follow.
Signature
Name
Designation
Place:
Date:

56
 FORM GST DRC - 14
[See rule I45(2)J
Certificate of Payment to a Third Person

In response to the notice issued to you in FORM GST DRC-13 bearing reference no.
dated , you have discharged your liability by making a payment
of Rs. for the defaulter named below:

GSTIN -
Name -
Demand order no.: Date:
Reference no. of recovery: Date:
Period:

This certificate will constitute a good and sufficient discharge of your liability to above
mentioned defaulter to the extent of the amount specified in the certificate.

Signature
Name
Designation
Place:
Date:

57
 FORM GST DRC-15
[See rule I46J

APPLICATION BEFORE THE CIVIL COURT REQUESTING EXECUTION FOR A

DECREE

To
The Magistrate /Judge of the Court of ......
-------------------

Demand order no.: Date: Period

Sir/Ma'am,
This is to inform you that as per the decree obtained in your Court on the day of
...... 20... by .......(name of defaulter) in Suit No. ......
of 20., a sum of rupees ------ is payable to the said person. However, the said person is
liable to pay a sum of rupees ------ under the provisions of the << SGST/UTGST/ CGST/
IGST/ CESS>> Act vide order number ----- dated -------.
You are requested to execute the decree and credit the net proceeds for settlement of the
outstanding recoverable amount as mentioned above.

Place:
Date:

Proper Officer/ Specified

Officer

58
 FORM GST DRC - 16
[See rule I47(I) & I5I(I)J

To
GSTIN -
Name -
Address -
Demand order no.: Date:
Reference no. of recovery: Date:
Period:

Notice for attachment and sale of immovable/movable goods/shares under section 79

Whereas you have failed to pay the amount of Rs....., being the arrears of
tax/cess/interest/penalty/ fee payable by you under the provisions of the <<SGST/UTGST/
CGST/ IGST/ CESS>> Act.
The immovable goods mentioned in the Table below are, therefore, attached and will
be sold for the recovery of the said amount. You are hereby prohibited from transferring or
creating a charge on the said goods in any way and any transfer or charge created by you shall
be invalid.
Schedule (Movable)

Sr. No. Description of goods Quantity

1 2 3

Schedule (Immovable)
Building Floor Name of Road Localit District Stat PIN Latitude Longitude
No./ No. the / y/ e Code (optiona (optional)
Flat No. Premises Stree Village l)
/Building t
1 2 3 4 5 6 7 8 9 10

Schedule (Shares)

59
 Sr. No. Name of the Company Quantity

1 2 3

Signature
Name
Designation
Place:
Date:

60
 FORM GST DRC - 17
[See rule I47(4)J
Notice for Auction of Immovable/Movable Property under section 79(1) (d)

Demand order no.: Date:

Reference number of recovery: Date:
Period:

Whereas an order has been made by me for sale of the attached or distrained goods
specified in the Schedule below for recovery of Rs...... and interest thereon and admissible
expenditure incurred on the recovery process in accordance with the provisions of section 79.
The sale will be by public auction and the goods shall be put up for sale in the lots
specified in the Schedule. The sale will be of the right, title and interests of the defaulter. And
the liabilities and claims attached to the said properties, so far as they have been ascertained,
are those specified in the Schedule against each lot.
In the absence of any order of postponement, the auction will be held
on.........(date) at...........A.M/P.M. In the event the entire
amount due is paid before the issuance of notice, the auction will be cancelled.
The price of each lot shall be paid at the time of sale or as per the directions of the proper
officer/ specified officer and in default of payment, the goods shall be again put up for auction
and resold.
Schedule (Movable)

Sr. No. Description of goods Quantity

1 2 3

Schedule (Immovable)
Building Floor Name of Road Localit District Stat PIN Latitude Longitude
No./ No. the / y/ e Code (optiona (optional)
Flat No. Premises Stree Village l)
/Building t
1 2 3 4 5 6 7 8 9 10

Schedule (Shares)

61
 Sr. No. Name of the Company Quantity

1 2 3

Signature
Name
Designation
Place:
Date:

62
 FORM GST DRC - 18
[See rule I55J

To
Name & Address of District Collector
.............

Demand order no.: Date:

Reference number of recovery: Date:
Period:
Certificate action under clause (e) of sub-section (1) section 79

I......... do hereby certify that a sum of Rs........ has been

demanded from and is payable by M/s......... holding GSTIN ...under
<<SGST/CGST/IGST/UTGST/CESS>> Act, but has not been paid and cannot be recovered
from the said defaulter in the manner provided under the Act.
<< demand details >>
The said GSTIN holder owns property/resides/carries on business in your Jurisdiction the
particulars of which are given hereunder: -
<<Description>>

You are requested to take early steps to realise the sum of rupees ----------- from the said
defaulter as if it were an arrear of land revenue.

Signature
Name
Designation
Place:
Date:

63
 FORM GST DRC - 19
[See rule I56J

To,

Magistrate,
<<Name and Address of the Court>>
Demand order no.: Date:
Reference number of recovery: Date:
Period:
Application to the Magistrate for Recovery as Fine
A sum of Rs. << ----- >> is recoverable from <<Name of taxable person>> holding
<<GSTIN>> on account of tax, interest and penalty payable under the provisions of the Act.
You are requested to kindly recover such amount in accordance with the provisions of clause
(f) of sub-section (1) of section 79 of the Act as if it were a fine imposed by a Magistrate.

Details of Amount
Description Central tax State /UT tax Integrated tax CESS
Tax/Cess
Interest
Penalty
Fees
Others
Total

Signature
Name
Designation
Place:
Date:

64
 FORM GST DRC - 20
[See rule I58(I)J

Application for Deferred Payment/ Payment in Instalments

1. Name of the taxable person-

2. GSTIN -
3. Period

In accordance with the provisions of section 80 of the Act, I request you to allow me
extension of time upto ---------- for payment of tax/ other dues or to allow me to pay such
tax/other dues in -------instalments for reasons stated below:

Demand ID

Description Central tax State /UT tax Integrated tax CESS

Tax/Cess
Interest
Penalty
Fees
Others
Total

Reasons: -
Upload Document

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 therefrom.
Signature of Authorized Signatory

Name

Place -

Date -

65
 FORM GST DRC - 21
[See rule I58(2)J

Reference No << --- >> << Date >>

To
GSTIN ------------
Name -------------
Address ------------

Demand Order No. Date:

Reference number of recovery: Date:
Period -
Application Reference No. (ARN) - Date -

Order for acceptance/rejection of application for deferred payment / payment in

instalments

This has reference to your above referred application, filed under section 80 of the Act. Your
application for deferred payment / payment of tax/other dues in instalments has been examined
and in this connection, you are allowed to pay tax and other dues by ------- (date) or in this
connection you are allowed to pay the tax and other dues amounting to rupees ------- in -------
monthly instalments.
OR
This has reference to your above referred application, filed under section 80 of the Act. Your
application for deferred payment / payment of tax/other dues in instalments has been
examined and it has not been found possible to accede to your request for the following
reasons:

Reasons for reJection

Signature
Name
Designation
Place:
Date:

66
 FORM GST DRC - 22
[See rule I59(I)J
Reference No.: Date:
To

----------------------- Name
Address
(Bank/ Post Office/Financial Institution/Immovable property registering authority)

Provisional attachment of property under section 83

It is to inform that M/s ------------------- (name) having principal place of business at --
----------------(address) bearing registration number as -------------- (GSTIN/ID), PAN ------ is
a registered taxable person under the <<SGST/CGST>> Act. Proceedings have been launched
against the aforesaid taxable person under section << --->> of the said Act to determine the tax
or any other amount due from the said person. As per information available with the
department, it has come to my notice that the said person has a -
<<saving / current / FD/RD / depository >>account in your << bank/post office/financial
institution>> having account no. << A/c no. >>;
or
property located at << property ID & location>>.
In order to protect the interests of revenue and in exercise of the powers conferred under section
83 of the Act, I -------------- (name), ----------- (designation), hereby provisionally attach the
aforesaid account / property.
No debit shall be allowed to be made from the said account or any other account operated by
the aforesaid person on the same PAN without the prior permission of this department.
or
The property mentioned above shall not be allowed to be disposed of without the prior
permission of this department.

Signature
Name
Designation

Copy to -

67
 FORM GST DRC - 23
[See rule I59(3), I59(5) & I59(6)J
Reference No.: Date:
To

----------------------- Name
Address
(Bank/ Post Office/Financial Institution/Immovable property registering authority)
Order reference No. - Date -

Restoration of provisionally attached property / bank account under section 83

Please refer to the attachment of << saving / current / FD/RD>> account in your << bank/post
office/financial institution>> having account no. << ------- >>, attached vide above referred
order, to safeguard the interest of revenue in the proceedings launched against the person. Now,
there is no such proceedings pending against the defaulting person which warrants the
attachment of the said accounts. Therefore, the said account may now be restored to the person
concerned.
or
Please refer to the attachment of property << ID /Locality>> attached vide above referred order
to safeguard the interest of revenue in the proceedings launched against the person. Now, there
is no such proceedings pending against the defaulting person which warrants the attachment of
the said property. Therefore, the said property may be restored to the person concerned.

Signature
Name
Designation

Copy to -

68
 FORM GST DRC-24
[See rule I60J

To
The Liquidator/ Receiver,
----------------------
Name of the taxable person:
GSTIN:
Demand order no.: Date: Period:

Intimation to Liquidator for recovery of amount

This has reference to your letter <<intimation no. & date>>, giving intimation of your
appointment as liquidator for the <<company name>> holding <<GSTIN>>. In this
connection, it is informed that the said company owes / likely to owe the following amount to
the State / Central Government:
Current / Anticipated Demand
(Amount in Rs.)

Act Tax Interest Penalty Other Dues Total Arrears

1 2 3 4 5 6
Central tax
State / UT tax
Integrated tax
Cess

In compliance of the provisions of section 88 of the Act, you are hereby directed to make
sufficient provision for discharge of the current and anticipated liabilities, before the final
winding up of the company.

Name
Designation

Place:
Date:

69
 FORM GST DRC - 25
[See rule I6IJ

Reference No << --- >>

<< Date >>

To
GSTIN -------------
Name ---------------
Address --------------

Demand Order No.: Date:

Reference number of recovery: Date:
Period:
Reference No. in Appeal or Revision or any other proceeding - Date:

Continuation of Recovery Proceedings

This has reference to the initiation of recovery proceedings against you vide above referred
recovery reference number for a sum of Rs..........
The Appellate /Revisional authority /Court ........ << name of authority / Court>>
has enhanced/reduced the dues covered by the above mentioned demand order
No.......dated........vide order no. ---------- dated ---------- and the dues now
stands at Rs.........The recovery of enhanced/reduced amount of Rs..... stands
continued from the stage at which the recovery proceedings stood immediately before disposal
of appeal or revision. The revised amount of demand after giving effect of appeal / revision is
given below:
Financial year: .....
(Amount in Rs.)
Act Tax Interest Penalty Other Dues Total Arrears

1 2 3 4 5 6
Central tax
State / UT tax
Integrated tax
Cess

Signature
Name

Designation

Place:
Date:

70
 FORM GST CPD-01
[See rule I62(I)J
Application for Compounding of Offence

1. GSTIN / Temporary ID
2. Name of the applicant
3. Address
4. The violation of provisions of the Act for which prosecution
is instituted or contemplated
5. Details of adJudication order/notice
Reference Number

Date

Tax

Interest

Penalty

Fine, if any

6. Brief facts of the case and particulars of the offence (s)

charged:

7. Whether this is the first offence under the Act

8. If answer to 7 is in the negative, the details of previous cases

9. Whether any proceedings for the same or any other offence
are contemplated under any other law.
10. If answer to 9 is in the affirmative, the details thereof

DECLARATION
(1) I shall pay the compounding amount, as may be fixed by the Commissioner.
(2) I understand that I cannot claim, as a matter of right, that the offence committed by me
under the Act shall be compounded.
Signature of the applicant
Name

71
 FORM GST CPD-02
[See rule I62(3)J
Reference No: Date:

To

GSTIN/ID --------
Name-----------
Address --------------
ARN ------- Date -

Order for rejection / allowance of compounding of offence

This has reference to your application referred to above. Your application has been examined
in the department and the findings are as recorded below:

<< text >>

I am satisfied that you fulfil the requirements to be allowed to compound the offences in
respect of the offences stated in column (2) of the table below on payment compounding
amount indicated in column (3):

Sr. No. Offence Compounding amount (Rs.)

(1) (2) (3)

Note: !n case the offence committed by the taxable person falls in more than one category
specified in Column (2), the compounding amount shall be the amount specified in column (3),
which is the maximum of the amounts specified against the categories in which the offence
sought to be compounded can be categorized.

You are hereby directed to pay the aforesaid compounding amount by ---------- (date) and on
payment of the compounding amount, you will be granted immunity from prosecution for the
offences listed in column (2) of the aforesaid table.
or

Your application is hereby reJected.

Signature

Name
Designation

72