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GST Credit Note Format

Origional
XYZ CO.
Company Rajasthan. PIN: 302001 Duplicate
Logo Tel: +91 0141-5117216 Triplicate
GSTIN:-27DEPR58895N123

Credit Note
Document No: Against invoice:
Date of Issue: Date of Invoice:
State: Code

Detail of Receiver (Billed to) Detail of Consignee (Shipped to)


Name: Name:
Address: Address:

GSTIN: GSTIN:
State: Code State:

S. HSN CGST SGST IGST


Product Description code UOM Qty Rate Amount Discount Taxable Value
No.
Rate Amount Rate Amount Rate
10 6000 60000 5000 55000 9 4950 9 4950 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0

Total 10 60000 5000 55000 4950 4950

Total amount in words Total Amount before Tax


Add: CGST
Add: SGST
Total Tax Amount
Total Amount after Tax:
Bank Details GST on Reverse Charge
Bank Name: Ceritified that the particulars given above are true and corre
Bank A/C: For XYZ & Co
Bank IFSC:
Terms & conditions:-

Authorised signatory
Head Office : 00, Motimahal, Andheri Kurla Road, Mumbai, Maharashtra, 400 001
CIN NO : CIN ZZZZDEDDDDDDDDD
Origional

Duplicate
Triplicate

gnee (Shipped to)

Code

IGST
Total
Amount
0 64900
0
0
0
0
0
0
0
0
0
0
0
0 64900

55000
4950
4950
9900
64900
0
iculars given above are true and correct
For XYZ & Co

horised signatory
ra, 400 001

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