Tax In

Debit Note
[See Rule 1 under Tax Invoice
Tax Invoice, Credit and Debit Note Rules]
Details of Dealer
ORIGINAL FOR RECIPIENT
Name : M/S BHARAT AUTO AGENCY DUPLICATE
Dealer
Dealer FOR
PanNo.
Pan Number Dealer
: : AHEPM5664M
:
Pan Number
Address : DELHI SHARANPUR ROADNR TEHSIL BARANT UTTAR PRADESH
Address :
DateNumber
Pan : :
State : UTTAR PRADESH
Hero Ref Number
No. : :
GSTIN/Unique ID : 09AHEPM5664M1ZQ Inv Serial
Hero Ref
Ref NumberNumber : 10056/Dec/20
Details of Recipient
Name : Hero FinCorp Limited Invoice Number : 10056/2020-21/09
34,Community Centre,Basant Lok,Vasant
Address : Invoice Date : 03/03/2021
Vihar,Delhi-110057

State : Delhi
State Code : 07
GSTIN/Unique ID : 07AAACH0157J1ZS Pan Number
Recipient
Recipient Pan : : AAACH0157J
Number
Pan No. :

Place of supply : Delhi

Name of State : Delhi

CGSTCGST SGST/UTGST
SGST/UTGST IGST
IGST CESS
CESS
Sr.No.
Sr.No. Description
Descriptionofof Services
HSN
SAC Total Total
HSN Taxable
Discount
Discount Taxable Value
HSN
Services Value Rate Rate
Amt Amt
Rate Rate Amt Rate
Amt AmtRateRate Amt Amt
Rate Amt

TW Loan
sourcing 998399 448236.0 379861.0 - - - - 18.0 68375.0

Total Total 379861.0 - - 68375.0

Total
Total Invoice
Invoice Value
Value (In figure)
(In figure) 448236.0
Total Invoice Value (In Words)
Total Invoice Value (In Words) Four Hundred Forty-Eight Thousand Two Hundred Thirty-Six
Amount of Tax subject to Reverse Charges
Amount of Tax subject to Reverse Charges NO No
E.&.O.E
Designation / Status
Electronic Reference Number Name of the Signatory
Signature
Note : For the services provided by individual direct selling agent (other than a body corporate,
For the servicesprovidedby individualdirectsellingagent (other than a body corporate,
partnership or LLP firm) to banking company or NBFC are covered under reverse charge
partnershipor LLP firm) to bankingcompanyor NBFC are coveredunder reverse charge SATENDRA
Signature Digitally signed by
SATENDRA KUMAR
mechanism. GST is payable by recipient of services as same is covered under RCM as per
mechanism.GST is payable by recipientof servicesas same is coveredunder RCM as per
clause 11 of Notification no. 13/2017-Central Tax (Rate) dated 28th Jun 2017 as amended by
clause 11 of Notificationno.13/2017-Central Tax (Rate) dated 28th Jun 2017 as amended by KUMAR MALIK
notification no.15/2018- Central Tax (Rate) dated 26th July 2018. Date: 2021.06.24
notificationno.15/2018- Central Tax (Rate) dated 26th July 2018.
MALIK 11:24:36 +05'30'