THE WEST BENGAL VALUE ADDED TAX RULES, 2005

FORM 5

Notice of demand of penalty under sub-section (4) of section 23 or sub-section (2) of section 25 or sub-section (5) of section 40 or sub-section (1) of section 30C or sub-section (4) of section 39 or section 65 / section 66AA / or section 101 of the West Bengal Value Added Sales Tax Act, 2003

[See *sub-rule (3) of rule 8/sub-rule (3) of rule18/ sub-rule (9) of rule 46XB/sub-rule (6) of rule 49/ sub-rule (4) of rule 93 / sub-rule (4) of rule 93 A/ or sub-rule (3) of rule 133 or sub-rule (2) of rule 134 or sub-rule (5) of rule 136]

To

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(Dealer) /(Transporter, Carrier or Transporting Agent) (Organiser) (Person)

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(Address)

In continuation of notice in Form 4 under *sub-section (4) of section 23/ sub-section (2) of section 25/ sub-section (5) of section 40 / sub-section (1) of section 30C/ sub-section (4) of section 39/section 65/section 101 of the West Bengal Value Added Tax Act, 2003, issued to you on ......................day of ............................20 ................, You are hereby informed that as per the provision of sub-section (4) of section 23/sub-section (2)of section 25 / sub-section (5) of section 40 / sub-section (1) of section 30C / sub-section (4) of section 39/section 65/ section 66AA/ section 101, penalty of Rs ...........................(in figures) / Rupees .......................................(in words) has been imposed upon you.

You are hereby directed to pay the amount to pay the amount of penalty as imposed of Rs.................. (in figures) / Rupees.......................................................... (in words into the appropriate Government Treasury, on or before.................................(date) and to produce the receipt in proof of the payment before the undersigned not later than........................................(date), failing which the unpaid amount of penalty shall be recoverable from you in accordance with the provisions of sub-section (1) of section 55.

Signature........................................

Date..............................

Designation...............................

*Charge/Section.........................

*Strike out whichever is not applicable.

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