| TAX INVOICE |
| Name and Address of the Supplier |
GSTIN:
Tax is Payable on Reverse Charge Basis (Yes/No) :
Serial No. of Invoice:
Date of Invoice: | Date and Time of issue: |
Details of Receiver (Billed to)
Name:
Address :
State:
State Code :
GSTIN/Unique ID: | Service Receipient
Name:
Address:
State:
State Code:
GSTIN/Unique: |
| S.No | Description of Goods | ACS | Qty | UOM | Rate | Total | Abatement or Discount | Taxable Value | CGST | SGST | IGST | UGST |
| Rate | Amount | Rate | Amount | Rate | Amount | Rate | Amount |
| | | | | | 0.00 | 0.00 | 0.00 | | 0.00 | | 0.00 | | 0.00 | | 0.00 |
| | | | | | | | | | 0.00 | | 0.00 | | 0.00 | | 0.00 |
| Invoice Total (In Words) : | Total | 0.00 |
| Invoice Total | 0.00 |
| Amount of Tax subject to Reverse Charges | | 0 | | 0 | | 0 | | 0 |
| Certified that the Particulars given above are true and correct and the amount | Electronic Reference Number : |
| TERMS OF SALE | For .......................................................... |
Authorised Signatory |