FORM GST DRC - 03
[See rule 142(2)&142(3)]
L
Intimation of payment made voluntarily or made against the show cause notice (SCN) or statement or intimation of tax ascertained through Form GST DRC-01A
ARN :AD370525012739U Date :19/05/2025
A
1. GSTIN 37FISPK9475C1ZJ
2. Name KALLIVEDV VINODKUMAR
3. Cause of Payment Audit
4. Type of document Notice for discrepancies
N
5. Section under which voluntary payment is made 65
6. Details of Audit Reference Date of issue:25/04/2025
No:ZD370425024233P
I
7. Financial Year 2021-2022
8. Details of payment made including interest and penalty, if applicable (Amount in Rs.)
Sr. Tax Period Act Place of Tax/Cess Interest Penalty,if Fee Others Total Ledger Debit entry no. Date of
No. supply applicabl utilised debit entry
F
e (Cash/credit
)
1. APR 2021- IGST Andhra 5,331.00 3,854.00 0.00 0.00 0.00 9,185.00 Cash DC370525006 19/05/2025
MAR 2022 Pradesh 9596
2. APR 2021- SGST Andhra 0.00 411.00 0.00 0.00 0.00 411.00 Cash DC370525006 19/05/2025
MAR 2022 Pradesh 9596
3. APR 2021- CGST Andhra 0.00 411.00 0.00 0.00 0.00 411.00 Cash DC370525006 19/05/2025
MAR 2022 Pradesh 9596
8. Reasons, if any -
I have accepted the discrepancy Notice Vide reference: ZD370425024233P Dt: 25-04-2025 and inclined to make Payment Against the
discrepancy Notice for the year 2021-22.
9. Verification -
AL
I hereby solemnly affirm and declare that the information given hereinabove is true and correct to the best of my knowledge and belief and
N
nothing has been concealed therefrom .
I
Signature of Authorized Signatory
Name: KALLIVEDV VINODKUMAR
Designation: Proprietor
F
Date: 19/05/2025