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10/31/2017 Commercial Taxes Department - Tamil Nadu

GOVERNMENT OF TAMIL NADU


COMMERCIAL TAXES DEPARTMENT

ACKNOWLEDGEMENT RECEIPT FOR REFUND OF EXPORTS

Application Receipt Number : 50100012191247

TIN : 33831702567

Name : R B A EXPORTS PVT LTD

Date of Receipt : 31/10/2017

Tax Type : VAT

Refund Type : REFUND OF EXPORTS

Refund Period : 01/06/2017 - 30/06/2017

Claim of Refund (Rs.) : 9,64,756.58

The receipt of your Refund application dated, 07/10/2017, in Form W for the month of
June 2017 is hereby provisionally acknowledged.

Note:

1. Amount claimed as refund has been earmarked and the Input Tax Credit balance available with the
dealers account has been reduced by the same amount. This earmarked sum will be reconciled with
exact refund amount once the refund orders are issued.
2. Copies of purchase related invoices may be submitted to the circle office to facilitate verification.
3. Please furnish signed acknowledgement receipt along with connected documents to respective circle
office within 10 working days from date of generating the acknowledgement receipt. In case of failure in
submission of such signed receipt, the application shall not be considered for further processing and the
applicant needs to make an application again.

Date : 31/10/2017
Signature : _________________________
This is a computer generated document, which is legally valid as per Section 79-A of the Tamil Nadu
VAT Act, 2006,read in consonance with Section 4 and Section 5 of the Information Technology Act,
2008.

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