FORM GST DRC - 03

[See rule 142(2)&142(3)]

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Intimation of payment made voluntarily or made against the show cause notice (SCN) or statement

ARN :AD360224011915B Date :21/02/2024

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1. GSTIN 36AMSPN7491A1ZN
2. Name ORUSU NARESH
3. Cause of Payment Voluntary
4. Section under which voluntary payment is made 73(5)

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5. Details of show cause notice, if payment is made within 30 days of Reference No:NA Date Of issue:NA
its issue
6. Financial Year 2021-2022

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7. Details of payment made including interest and penalty, if applicable (Amount in Rs.)
Sr. Tax Period Act Place of Tax/Cess Interest Penalty,if Fee Others Total Ledger Debit entry no. Date of
No. supply applicabl utilised debit entry
e (Cash/credit

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)
1. APR 2021- CGST Telangana 50,514.0 0.00 0.00 0.00 0.00 50,514.0 Cash/Credit DC360224014 21/02/2024
MAR 2022 0 0 4132/DI36022
40163335
2. APR 2021- SGST Telangana 50,514.0 0.00 0.00 0.00 0.00 50,514.0 Cash/Credit DC360224014 21/02/2024
MAR 2022 0 0 4132/DI36022
40163335

8. Reasons, if any -
Payment of Tax due to mismatch between GSTR 2A (TDS) Vs GSTR 3B
9. Verification -

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I hereby solemnly affirm and declare that the information given hereinabove is true and correct to the best of my knowledge and belief and
nothing has been concealed therefrom .

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Signature of Authorized Signatory
Name: ORUSU NARESH

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Designation: PROPRIETOR
Date: 21/02/2024