(Counterfoil) Form VAT - XII [See rule 30(1) of the Goa Value Added Tax Rules, 2005] REFUND VOUCHER Voucher No.... Refund Voucher for the refund of tax and/or penalty and/or interest Under the Goa Value Added Tax Act, 2005(Act of 2005). Refund payable to ...... TIN issued by Commercial Taxes Office...Ward. Date of order directing refund......... Amount of refund: Rs.... Number in collection register showing the collection of amount regarding which refund is made:- (Signed)...... Designation...... Dated: (Office Seal)
