Form GST PMT-07
[See rule 87(8)]

Application for intimating discrepancy relating to payment

1. GSTIN  
2. Name (Legal)  
3. Trade name, if any  
4. Date of generation of challan
from Common Portal		  
5. Common Portal Identification
Number (CPIN)		  
6. Mode of payment (tick one) Net banking □ CC/DC □ NEFT/RTGS □ IMPS □ OTC □
7. Instrument detail, for OTC
payment only		 Cheque / Draft No. Date Bank/branch on which drawn
8. Name of bank through which
payment made		  
9. Date on which amount
debited / realized		  
10. Bank Reference Number
(BRN)/ UTR No., if any		  
10A. Retrieval Reference Number (RRN) – IMPS.  
11. Name of payment gateway
(for CC/DC)		  
12. Payment detail

Central Tax

State Tax

UT Tax

Integrated Tax

Cess
         
13. 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.
Place
Date

Signature
Name of Authorized Signatory
Designation /Status………………

  

 

Note –
1. The application is meant for the taxpayer where the amount intended to be paid is debited from his account but CIN has not been conveyed by bank to Common Portal or CIN has been generated but not reported by concerned bank.
2. The application may be filed if CIN is not conveyed within 24 hours of debit.
3. Common Portal shall forward the complaint to the Bank concerned and intimate the aggrieved person.
4. ‘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).