Department of Goods Tax Government of Arunachal Pradesh Form FU-01 (See Rule 47 of the Arunachal Pradesh Goods Tax Rules, 2005) << Date >>Reference No << Reference Number >> Refund order 1. Name and address of the Dealer _________________________________________ _________________________________________ 2. Registration No. 3. Address for Services{if different from the address of principal place of business} 4. Date of Application of refund 5. Return period 6. Amount of refund claimed 7. Amount of Refund allowed _________________________________________ 8. Reasons, if amount allowed is less than claimed _________________________________________ 9. Due date for payment of refund 10. Interest due in case of delayed payment of refund (u/s 44) 11. Details of other dues that are outstanding and that are being adjusted against the said refund claim allowed. 12. Amount of refund adjusted against the outstanding dues(u/s 40(2) _________________________________________ 13. Net amount of refund payable, after adjustment 14. RBI Advise No and Date through which refund issued 15. Cheque No and Date (in case of refund through Cheque) . Date of approval of refund __________________________________________ (Signature) (Designation) (Place) (Date) Department of Goods Tax Note: Please write your RC No. while communicating with the Arunachal Pradesh VAT Department in this matter or in any other matter whatsoever. 2. You have a right to object against this order under Section 75.
