GST Debit Note Format
XYZ CO..
Company Rajasthan. PIN: 302001
Logo Tel: +91 0141-5117216
GSTIN:-27DEPR58895N123
Debit Note
Document No: Against invoice:
Date of Issue: Date of Invoice:
State: Code
Detail of Receiver (Billed to) Detail of Consignee (S
Name: Name:
Address: Address:
GSTIN: GSTIN:
State: Code State:
Product Taxable CGST
S. No. Description HSN code UOM Qty Rate Amount Discount Value
Rate Amount
10 5000 50000 5000 45000 9 4050
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 50000 5000 45000 4050
Total amount in words Total Amount before Tax
Add: CGST
Add: SGST
Total Tax Amount
Total Amount after Tax:
Bank Details Ceritified that the particulars gi
Bank Name: For XY
Bank A/C:
Bank IFSC:
Terms & conditions:-
Authorised
Head Office : 00, Motimahal, Andheri Kurla Road, Mumbai, Maharashtra, 400 001
CIN NO : CIN ZZZZDEDDDDDDDDD
3
Detail of Consignee (Shipped to)
Code
SGST IGST
Total
Rate Amount Rate Amount
9 4050 0 0 53100
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
4050 0 53100
mount before Tax 45000
ST 4050
ST 4050
x Amount 8100
mount after Tax: 53100
Ceritified that the particulars given above are true and correct
For XYZ CO..
Authorised signatory
umbai, Maharashtra, 400 001
DDDD