Refund payment order

Book No. _____ Vr. No. ____ (under Rs._______)Counterfoil Order for the refund of tax under Madhya Pradesh Vritti Kar Adhiniyam, 1995 Refunds (under Rs _____________). (for use in the treasury only) Order for the refund of tax (payable at the Government Treasury sub-treasury within three months of the date of issue) Refunds (under Rs _____________). Order for the refund of tax (payable at the Government Treasury sub-treasury within three months of the date of issue) Refund payable to_______ R.C.No. ______Assessment Case No.______ Date of order directing refund amount of refund No. in collection registe showing the collection of amount regarding which refund is made. Signature ______ Designation ________ Date ______ Signature of the recipient To, The Treasury/Sub-treasury Officer _______ 1.Certified to the assessment being R.C.No._______ to the period from _____ to ______ a refund of Rs. ______ is due to ________ 2. The amount of tax concerning which this refund is allowed has been duly credited into the Government Treasury. 3. Certified that no refund order regarding the sum now in question has previously been entered in the original file of assessment under my signature. 4. Please pay to ________ the sum of Rs _______(in figures) Rs.______(in words) Signature ______ Designation ________ Date ______ To, The Treasury/Sub-treasury Officer _______ 1.Certified to the assessment being R.C.No._______ to the period from _____ to ______ a refund of Rs. ______ is due to ________ 2. The amount of tax concerning which this refund is allowed has been duly credited into the Government Treasury. 3. Certified that no refund order regarding the sum now in question has previously been entered in the original file of assessment under my signature. 4. Please pay to ________ the sum of Rs _______(in figures) Rs.______(in words) Signature ______ Designation ________ Date ______ Treasury Officer Treasury Officer Vr.No. ________Date of encashment in the Government Treasury _______ Date of encashment in the Government Treasury _______ /sub-treasury________pay Rs.______ only. Signature_______ Treasury /sub-treasury officer Claimant's Signature and Date _____ Treasury/sub-treasury Officer. Date of encashment in the Government Treasury _______ /sub-treasury________pay Rs.______ only. Signature_______ Treasury /sub-treasury officer Claimant's Signature and Date _____ Treasury/sub-treasury Officer. To, The Profession Tax Assessing Authority, This is to certify that the refund of Rs.______ as per your refund payment order, dated _________ book No. ________ Vr./ No. _________ has been made on ______ (date) Dated--------- Treasury/Sub-treasury Officer