“FORM GST DRC - 02
[See rule 142(1)(b)]

Reference No:

 Date:


To

                            GSTIN/Temp. ID
------------------ Name
                            Address

Tax Period                                                                                                F.Y.

Section / sub-section under which SCN is being issued -
SCN Reference No. ----                                                                                Date ----
Statement Ref. No. ----                                                                                  Date –


Summary of Statement :


(a) Brief facts of the case :

(b) Grounds :

(c) Tax and other dues :

(Amount in Rs.)

 
“Sr. No. Tax Rate Turnover

Tax Period

Act POS (Place of Supply) Tax Interest Penalty Fee Others Total
From To
1 2 3 4 5 6 7 8 9 10 11 12 13
                         
Total                      

".


 

 

Signature                              
Name                                  
Designation                          
Jurisdiction                           
Address                              

Note -
1. Only applicable fields may be filled up.
2. Column nos. 2, 3, 4 and 5 of the above Table i.e. tax rate, turnover and tax period are not mandatory.
3. Place of Supply (POS) details shall be required only if the demand is created under the IGST Act.”.