Form GST PMT –04 (Application for intimation of discrepancy in Electronic Credit Ledger/Cash Ledger/ Liability Register)

Form GST PMT –04

[See rules 85(7), 86(6) & 87(12)]

 

Application for intimation of discrepancy in Electronic Credit Ledger/Cash Ledger/ Liability Register

 

 

1.	GSTIN
2.	Name (Legal)
3.	Trade name, if any
4.	Ledger / Reg­is­ter in which dis­crep­an­cy noticed	Cred­it ledger        Cash ledger      Lia­bil­i­ty register
5.	Details of the discrepancy
	Date	Type of tax	Type of discrepancy	Amount involved
		Cen­tral Tax
		State Tax
		UT Tax
		Inte­grat­ed Tax
		Cess
6.	Rea­sons, if any
7.	Ver­i­fi­ca­tion I here­by solemn­ly affirm and declare that the infor­ma­tion giv­en here­in above is true and cor­rect to the best of my knowl­edge and belief. Sig­na­ture Place                                                                                      Name of Autho­rized Signatory Date                                                                                   Des­ig­na­tion /Status………………

Note –

‘Cen­tral Tax’ stands for Cen­tral Goods and Ser­vices Tax; ‘State Tax’ stands for State Goods and Ser­vices Tax; ‘UT Tax’ stands for Union ter­ri­to­ry Goods and Ser­vices Tax; ‘Inte­grat­ed Tax’ stands for Inte­grat­ed Goods and Ser­vices Tax and ‘Cess’ stands for Goods and Ser­vices Tax(Compensation to States)

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