Certificate for Circular 212 (For Below 5L Tax in CN)

UNDERTAKING CUM CERTIFICATE

To,

<Supplier’s Name>

<Address of the Supplier>

<GST Number of the Supplier>

This is to Certify that, We, M/s <Name of Recipient>, having address at <Address of the Recipient> & having GSTIN <GST Number of the Recipient> have made the reversal of ITC pertains to Credit Notes issued by M/s <Supplier’s Name> having GSTIN <GST Number of the Supplier> for the list of Credit Notes as per below mentioned Table. We also Certify that ITC pertains to such Credit Notes have been reversed in the returns of GSTR-3B or Via DRC-03 as per the below mentioned table.

This certificate has been given as per requirement to comply with section 15(3)(b)(ii) w.r.t. Circular 212-2024 Dated 26-06-2024 on the request of the Recipient.

#	Credit Note Date	Credit Note Number	Basic Value	CGST	SGST	IGST	Cess	Original Invoice No. Pertains to Credit Note	Original Invoice Date Pertains to Credit Note	GSTR-3B Month In which ITC has been reduced / Reversed OR DRC-03 Reference No
1
2
3
4
5
6
		TOTAL	0	0	0	0	0