Form JVAT 209 GOVERNMENT OF JHARKHAND COMMERCIAL TAXES DEPARTMENT [See Rule 19(11), 20(3)] Refund Payment Order Counterfoil I VAT REFUND ORDER Foil II: (to be presented to the Treasury Officer for payment) VAT REFUND ORDER Foil III: (to be remitted to the Treasury: not to encash) VAT REFUND ADVICE OF PAYMENT Book No..................... Serial No..................... Head No ....... Deduct Refund Payable to.................. Book No..................... Serial No..................... Order For Refund of VAT Circle/SubCircle Book No..................... Serial No..................... Date of issue................... Amount of refund .....................(in figures). .....................(in words) Name of Dealer Address Registrations No. (TIN) .... Period................. Date of order directing refund................... Valid up to 30 days from the date of issue.................... Amount of refund................ Serial Number of the assessee in Demand and Collection Register showing collection of amount regarding which refund is made.................. Signature of the Incharge of the Circle/SubCircle, / and Signature of the concerned Assistants of the Record / Office. Signature of recipient. Paid on (date) Valid upto 30 days from date ... Payable at ............... Treasury/ SubTreasury 1. Certified that with reference to the assessment record bearing T.I.N. No...... of VAT Registration Certificate, a refund of Rs................is due to Sri / Ms .................... .................... 2. Certified that the tax, penalty, or interest concerning which the refund is given has been credited in Bank/Treasury/vide Challan No.................dated............... 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 original file of Assessment under my signature. Please pay to Sri/Ms ................... on account of the above Refund, the sum of Rs..............(Figures) Rs...................(in words) Signature and seal of Incharge of the Circle Signature/Counter signature and seal of the JCCT (Admn) of Division Received payment. Payable at................... Treasury Signature & Designation of Paying Authority. No................date............... Checked the Refund Advice of the Incharge of the Circle/SubCircle ........ Seal of Treasury or Bank. Signature of Treasury Officer/Manager of the Bank. Signature Designation (Claimant's signature) Examined. (to be attested by the InCharge of the Circle/SubCircle after advice of payment is received from their Bank/Treasury.) Entered in Demand & Collection Register & Refund Register vide Item No..............dated........... Incharge of the Circle/SubCircle Signature of the Treasury Officer / Manager of the Bank