Form GST PMT-03
[See rules 86(4) & 87(11)]
Order for re-credit of the amount to cash or credit ledger on rejection of refund claim
 

Reference No.                                                                                                                                                                                                                 Date –
1. GSTIN –
2. Name (Legal) –
3. Trade name, if any
4. Address –
5. Period / Tax Period to which the credit relates, if any –                                                                                                             From ----------- To -----------
6. Ledger from which debit entry was made for claiming refund -                                                                                                              cash / credit ledger
7. Debit entry no. and date -
8. Application reference no. and date –
9. No. and date of order vide which refund was rejected
10. Amount of credit -

Signature
Name

Designation of the officer

Note – ‘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)