FORM 17

[See sub-rule (2) of Rule 23]

Notice of Demand under sub-rule (2) of Rule 23 of the Karnataka Tax on Professions, Trades, Callings and Employments Rules, 1976, to a person who has failed to get himself enrolled.

To

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. . . . . . . . . . . . . . . . . . . . . . . .(Address)

Whereas the proceedings against you under Rule 23 have been disposed of on . . . . . . . . . . . .and an account of tax of Rs. . . . . . . . . . . . .has been assessed as payable by you in respect of the period . . . . . . . . . . . .

You are hereby directed to pay the said amount within a period of 15 days of the receipt of this notice, failing which appropriate action will be take against you for the recovery of the amount.

(SEAL)