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GST DRC-03 Payment Intimation Form

The document is a Form GST DRC-03, indicating a voluntary payment made by KALLIVEDV VINODKUMAR in response to an audit discrepancy notice for the financial year 2021-2022. The total payment made amounts to Rs. 9,185.00 for IGST, along with additional payments for SGST and CGST. The form includes details of the payment and a declaration of accuracy by the authorized signatory.

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0% found this document useful (0 votes)
57 views2 pages

GST DRC-03 Payment Intimation Form

The document is a Form GST DRC-03, indicating a voluntary payment made by KALLIVEDV VINODKUMAR in response to an audit discrepancy notice for the financial year 2021-2022. The total payment made amounts to Rs. 9,185.00 for IGST, along with additional payments for SGST and CGST. The form includes details of the payment and a declaration of accuracy by the authorized signatory.

Uploaded by

Veer
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

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

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