FORM GST DRC-20
[See rule 158(1)]

Application for Deferred Payment/ Payment in Instalments

1. Name of the taxable person2.
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 ------- installments for reasons stated below:

Demand ID  
   
Description Central tax State /UT tax Integrated tax CESS
Tax/Cess        
Interest        
Penalty        
Fees        
Others        
Total        

 

Reasons: -
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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 -