FORM XXI TRIPURA VALUE ADDED TAX ACT, 2004 TRIPURA VALUE ADDED TAX ACT, 2004 Refund Refund ( Under Rule of 37(1) TVAT Rules ) ( Under Rule of 37(1) TVAT Rules ) Book No........................... Book No. : ............................................. Voucher No ........... Voucher No. : ....................................... (TAX-TAXES UNDER TRIPURA VALUE ADDED TAX ACT) Order for fund of tax Treasury/Sub-Treasury State Bank of India (Tax - Taxes under Tripura Value Payable at the ........... Added Tax Act) Reserve Bank of India To The Treasury Officer The Sub-Treasury Officer The Agent, State Bank of India The Agent, United Bank of India Refund Payable to 1. Certified that with reference to the assessment record No. .........a refund of Rs.....is due to.......... in in respect of the return period ending..... Assessment record No. 2. Certified that the tax concerning which this refund is given has been credited in the Treasury. Date of order directing refund. 3. Certified that no refund order regarding the sum now in question has previously been granted and this order of refund has been entered in the assessment record under my signature. Amount of refund. 4. Please pay to.........................................the sum of Rs............(in words) Seal Date.............Place........ ..............................................Superintendent Challan No. and date Original payment. Received payment pay Rupees.....only. Signature of Superintendent. Claimant's signature Treasury, Officer-in-charge of the Sub-Treasury Signature of receipient of the voucher... The.................20.... Examined The......20.... Date of encashment Accountant.
