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 :AD240423005169F Date :03/04/2023

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1. GSTIN 24BBAPR9216F1ZR
2. Name RANA RAM RABARI
3. Cause of Payment Voluntary
4. Section under which voluntary payment is made 74(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 2022-2023

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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. JUN 2022- IGST Maharashtra 131,000. 0.00 0.00 0.00 0.00 131,000. Cash DC240423000 03/04/2023
JUN 2022 00 00 3879

8. Reasons, if any -
NEHA ENTERPRISE BILL NO 00015 DATED 01062022 AMOUNT PAID 131000
9. Verification -

nothing has been concealed therefrom .

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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

A Signature of Authorized Signatory

Name: RANA RABARI
Designation: PROPRIETER

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Date: 03/04/2023

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