Form JVAT 206 GOVERNMENT OF JHARKHAND COMMERCIAL TAXES DEPARTMENT [See Rule 19(2)(a)] Application for Refund Cover Page Checklist of Supporting Documents Original purchase invoice on the basis of which refund is claimed Proof of payment of tax received Copy of Annual Return/JVAT 124/Assessment Order in which Refund has been claimed under section Copy of the Notice of demand in JVAT 300 Reasons for Rejection (For Office Use only) Please tick as applicable Not filed Mandatory ____________________________________ Not attached Support Document(s)__________________________________ Other__________________________________________________________ 1. Name of the Dealer ___________________________________ 2. Registration No. (TIN) ___________________________________ 3. Address Telephone Number(s) ___________________________ Fax Number(s)/Email ___________________________ 4. Details of purchases for which refund is claimed: 5. Reason for Refund ___________________________________________________ Invoice Description of goods Quantity Value Tax paid (Rs. Name of Dealer Registration No. (TIN) Number Date Declaration I declare that I have not taken credit of input tax on purchases for which I have claimed refund*/ and that I have reversed credit of input tax*,if taken earlier/that on account of Self Assessment*/Provisional Assessment*/Assessment*, I claim refund of tax thereof. Signature Full name of Applicant Verification I certify that the information given in this form and its attachments (if any) is true and correct to the best of my knowledge and belief and nothing has been concealed Signature Full name of Applicant Designation/Date/Place Please attach separate sheet(s),specifying the reasons therein for refund Instructions 1. Please ensure that the form is complete 2. This Form should be verified and signed by: a. Proprietor, in case of Proprietorship concern b. Managing Partner, in case of Partnership firm and where there is no Managing Partner, by all the partners if there is no registered partnership deed and in case of a registered partnership deed by any one of them. c. Managing Director or authorized signatory, in case of a Company d. Karta, in case of Hindu Undivided Family e. Authorised Signatory, in all other cases 3. enclose original copies of VAT invoices 4. enclose copy of return in which refund has been claimed under Section 50 of the Act. 54
