Form GST PMT –07

[See rule 87(8)]

Application for intimating discrepancy relating to payment

1.	GSTIN
2.	Name (Legal)
3.	Trade name, if any
4.	Date of generation of challan from Common Portal
5.	Common Portal Identification Number (CPIN)
6.	Mode of payment (tick one)	Net banking	CC/DC	NEFT/RTGS	OTC
7.	Instrument detail, for OTC payment only	Cheque / Draft No.	Date	Bank/branch on which drawn
8.	Name of bank through which payment made
9.	Date on which amount debited / realized
10.	Bank Reference Number (BRN)/ UTR No., if any
11.	Name of payment gateway (for CC/DC)
12.	Payment detail	Central Tax	State Tax	UT Tax	Integrated Tax	Cess
13.	Verification (by authorized signatory) I hereby solemnly affirm and declare that the information given herein above is true and correct to the best of my knowledge and belief.

Note –

1. The application is meant for the taxpayer where the amount intended to be paid is debited from his account but

CIN has not been conveyed by bank to Common Portal or CIN has been generated but not reported by concerned bank.

• The application may be filed if CIN is not conveyed within 24 hours of debit.
• Common Portal shall forward the complaint to the Bank concerned and intimate the aggrieved person.
• ‘Central Tax’ stands for Central Goods and Services Tax; ‘State Tax’ stands for State Goods and Services Tax; ‘UT Tax’ stands for Union territory Goods and Services Tax; ‘Integrated Tax’ stands for Integrated Goods and Services Tax and ‘Cess’ stands for Goods and Services Tax(Compensation to States).