FORM GST DRC – 04, Integrated Tax(GST-Forms)

FORM GST DRC – 04, Integrated Tax(GST-Forms)

Goods & Services Tax

Acknowledgement of acceptance of payment made voluntarily

Reference No:


Date:


To


__________ GSTIN/ID


------------- Name


_________ Address


Tax Period ------


F.Y. ----------


ARN -


Date -


Acknowledgement of acceptance of payment made voluntarily


The payment made by you vide application referred to above is hereby acknowledged to the extent of the amount paid and for the reasons stated therein.


Signature


Name


Designation