Form GST PMT –07 (Application for intimating discrepancy relating to payment)

[See rule 87(8)]

1.	GSTIN
2.	Name (Legal)
3.	Trade name, if any
4.	Date of generation of challan from Common Portal
5.	Common Portal Identification Number (CPIN)
6.	Mode of payment (tick one)	Net banking	CC/DC		NEFT/RTGS		OTC
7.	Instrument detail, for OTC payment only	Cheque / Draft No.	Date			Bank/branch on which drawn
8.	Name of bank through which payment made
9.	Date on which amount debited / realized
10.	Bank Reference Number (BRN)/ UTR No., if any
11.	Name of payment gateway (for CC/DC)
12.	Payment detail	Central Tax	State Tax	UT Tax		Integrated Tax		Cess

13.	Verification (by authorized signatory) 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 –

The application is meant for the taxpayer where the amount intended to be paid is debited from his account but

CIN has not been conveyed by bank to Common Portal or CIN has been generated but not reported by concerned bank.

The application may be filed if CIN is not conveyed within 24 hours of
Common Portal shall forward the complaint to the Bank concerned and intimate the aggrieved
‘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).