FORM GST DRC-21
[See rule 158(2)]

Reference No << --- >>                                                                                                                 << Date >>
To
GSTIN ------------
Name -------------
Address ------------

Demand Order No.                                                                                                                                 Date:
Reference number of recovery:                                                                                                                 Date:
Period -
Application Reference No. (ARN) -                                                                                                         Date -

Order for acceptance/rejection of application for deferred payment / payment in

instalments
 

This has reference to your above referred application, filed under section 80 of the Act. Your application for deferred payment / payment of tax/other dues in instalments has been examined and in this connection, you are allowed to pay tax and other dues by ------- (date) or in this connection you are allowed to pay the tax and other dues amounting to rupees ------- in ------- monthly instalments.

OR
 

This has reference to your above referred application, filed under section 80 of the Act. Your application for deferred payment / payment of tax/other dues in instalments has been examined and it has not been found possible to accede to your request for the following reasons:

Signature
Name
Designation

Place:
Date: