FORM GST DRC-04
[See rule 142(2)]
| Reference No.: |
Date: |
To
_______________ GSTIN/ID
----------------------- Name
_______________ Address
| RefTax Period ------------- |
F.Y. ---------- |
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
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