Gst Refund Forms State Gst Rfd 06

Government of <<State>> 

Department of.. 

FORM-GST-RFD-06 

[See Rule-----] 

Order for Complete adjustment of claimed Refund 

Date: <DD/MM/YYYY> 

Reference No. : 

To 

___________ (GSTIN) 

___________ (Name) 

____________ (Address) 

Acknowledgement No. _____

Dated ____<DD/MM/YYYY>_____ 

Sir/Madam, 

With reference to your refund application as referred above and further furnishing of information/ filing of 

documents against the amount of refund by you has been completely adjusted 

i. 

ii. 

iii. 

iv. 

v. 

Refund Calculation 

Amount of Refund claimed 

SGST 

Refund  Sanctioned  on  Provisional  Basis  (Order 
No.dated) 

Refund 
dropdown>> 

amount 

inadmissible 

<<reason 

Refund admissible (i-ii-iii) 

Refund  reduced  against  outstanding  demand  (as 
per order no.) under earlier law or under this law. . 
Demand Order No.. date..  

vi. 

Balance amount of refund 

Nil 

I  hereby,  order  that  the  amount  of  admissible  refund  as  shown  above  is  completely  adjusted  against  the 
outstanding demand under this act / under the earlier law. This applicant stands disposed as per provisions under 
sub-section (.) of Section (.) of the Act. 

Date: 

Place: 

Signature (DSC): 

Name: 

Designation: 

Office Address: