149. FORMGST_DRC_03
FORM GST DRC- 03
[See rule 142(2) & 142 (3)]
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 is made | << drop down>> | ||||||||||
| 5. | Details of show cause notice, if payment is made within 30 days of its issue | Reference No. | Date of issue | |||||||||
| 6. | Financial Year | |||||||||||
| 7. | Details of payment made including interest and penalty, if applicable (Amount in Rs.) | |||||||||||
| Sr. No. | Tax Period | Act | Place of supply (POS) | Tax/ Cess | Interest | Penalty, if applicable | Total | Ledger utilised (Cash / Credit) | Debit entry no. | Date of debit entry | ||
| 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | 11 | ||
- Reasons, if any – << Text box>>
- 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 –
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