Application for Refund of Tax

[See Rule 23(2)] Application for Refund of Tax PART-I (To be completed by the claimant) I, ……………………….... having paid a tax of Rs.............................in respect of my motor vehicle for the period ending......................hereby apply for a refund of the said tax on the ground that the said vehicle was not used in Uttarakhand from.................................to ............................ • I attach hereto the certificate of registration in respect of the said vehicle in support of my claim. • Not necessary when refund is claimed on the ground of transfer of the vehicle from Uttarakhand to another State. Date.................20.......... ……………………………… Signature of claimant PART - II. (To be completed by the Taxation Officer) Claim for refund arose on...............and was presented on................. Refund admitted for the period commencing.........................and ending ...................Amount to be refunded Rs. ..........................Refund Voucher No. ..................................dated... .................for Rs. .................... delivered/sent to applicant personally/by post. Date.................20.......... ……………………………… Signature of claimant