Professional Documents
Culture Documents
CP-FORM-52
Version 3.4
BILL ADJUSTMENT NOTE
Revised on 25/11/2014
Enq. No. ________ Date __________
Reference Number Adjustment Note Due Billing Extended Tariff
Batch # Sub Division Account No C Number Date Date Month Due Date Code
Name & Address ________________
Of Customer ____________________
Sales
Tax With LP Etax Ftax
G.S.T Electricity NJ G.S.T Service Variable Fixed/Min. LPF Penalty Seasonal EQ Surcharge
Meter Rent Holding
Duty Surcharge Subsidy Rent Charges Charges Charges Charges Surcharge
Income Tax
Amount Charged
Amount to
be Charged
Amount to
be Adjusted
* G.S.T Subsidy is not included in Total Adjustments Total
No. of Months Adjustment