THE KERALA VALUE ADDED TAX RULES, 2005

FORM NO. 6A

SECURITY BOND FOR STAY OF COLLECTION OF TAX, FEE OR

OTHER AMOUNT DISPUTED

[See Rule 19 (2) & 85]

Before the Value Added Tax Appellate Tribunal / Deputy Commissioner

(Appeals) / Commissioner / High Court

No.........................................of.............................................200...............

Petitioner

versus

The state of Kerala

Respondent

Security Bond executed in favour of the Governer of Kerala (hereinafter referred to as the Government and his successors in office and assigns).

Whereas..........................as filed an appeal/application before the Appellate Tribunal/ Deputy Commissioner (Appeals)/ Commissioner / High Court at against the order of it/ is/ his dated and the said appeal/ application is pending, and were as the said appellant/applicant as applied for direction in regard to the payment of the disputed tax, fee or other amount and has been called upon to furnish security accordingly, and in consideration whereof, I/We hereby personally undertake and bind myself/ourselves, my heirs / our heirs and legal representatives to pay the Government of Kerala the sum of Rs................... and mortgage/ charge the properties specified in the schedule hereunto annexed for the payment of the sum Rs.......... to the Government of Kerala and covenant that if the aforesaid appellant/ applicant complies with all the directions in regard to the payment of tax fee or other amount made by the Appellate Tribunal/ Deputy commissioner (Appeals)/ Commissioner/ High Court in the said appeal/ application his bond shall be void and of no effect otherwise it shall remain in full force and effect.

Schedule of Properties mortgaged/ charged

In witness whereof I/ We ...................................have hereunto affixed my/ our hands and seal, this day of .........................200.......at...........................

Witnesses:

Signature

Note: Original Title Deeds in respect of schedule properties to be deposited.

Note: Copy of Title Deeds in respect of schedule properties to be deposited.