The Gujarat Value Added Tax Rules, 2006
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FORM 305

[See Rule 27]

NOTICE FOR AMOUNT ASSESSED

To,	Office Address
___________________	______________________
____________________	______________________
____________________	______________________

Registration Certificate No. ____________________ Dated ______________________

Lump sum Permit No.______________ Dated __________________

The Dealer/ person has not paid tax/ Interest/ Penalty due from him as per Order passed under section or the order passed in First / Second Appeal / Revision application, under sub section _____ of section _____ of the Act is as under.

Date of Order ______________ Period From ____________ to _______________

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Details	Payable Tax Amount Rs.	Amount Paid Rs.	Balance Due Rs.
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1. Assessed Tax
2. Interest U/s
3. Penalty U/s.

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Total
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Less Refund adjustment Order No. __________Dated_________Rs._________________

Net Amount payable ___________________________________Rs._________________

______________________________________________________________________________________________

1.	The sum of Rs. ____________ shall be paid into the Government Treasury at ________ within 30 days from the service of this notice.
2.	The receipted chalan shall be produced before me within ______ days.
3.	Interest at the rate of 18% per annum shall be charged on late payment of dues.
4.	An Appeal may be filed within 60 days from the date of receipt of the Order to _______________________________________ (Write the name of authority)

Seal

Place	Signature
Date	Designation