Form GST PMT-03A

FORM GST PMT –03A
[See rule 86(4B)]
Order for re-credit of the amount to electronic credit ledger

Reference No: Date:
1. GSTIN –
2. Name (Legal) –
3. Trade name, if any
4. Address –
5. Ledger from which debit entry was made- Cash / credit ledger
6. Debit entry no. and date –
7. Payment Reference Number (DRC 03): ___________ dated ________
8. Details of Payment: -

Cause of Payment

(Deposit of erroneous refund of unutilised ITC or Deposit of erroneous refund of IGST)

Details of Refund Sanction order

1. Shipping Bill/ Bill of Export No. and Date ____________

2. Amount of IGST paid on export of goods __________

3. Details of Exemption/Concessional Rate Notification used for procuring inputs __________

4. Amount of refund sanctioned ___________

5. Date of credit of refund in Bank Account ________

(or)

1. Category of refund and relevant period of refund__________

2. GST RFD01/01A ARN and Date _________

3. GST RFD-06 Order No. and Date ________

4. Amount of refund claimed __________

5. Amount of refund sanctioned __________

10. No. and date of order giving rise to recredit, if any -
11. Amount of credit -

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)

S.No.	Act (Central Tax/ State tax/ UT Tax/ Integrated Tax/ CESS)	Amount of credit (Rs.)
S.No.	Act (Central Tax/ State tax/ UT Tax/ Integrated Tax/ CESS)	Tax	Interest	Penalty	Fee	Other	Total
1	2	3	4	5	6	7	8