Maharashtra Value Added Tax Rules, 2005 FORMS
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FORM 420

(See rule 39 )

Form of Notice under sub section (10) of section 29 of The Maharashtra Value Added Tax Act, 2002

M/s

No. :

Dated :

Sub: - Intimation under sub section (6) of section 32 of the Maharashtra Value Added Tax Act, 2002

With reference to the above mentioned subject, I have to inform you that an order of forfeiture under section 29 is passed in the case of following dealer whose details are as under :

(1)	Name of the dealer / person	______________________________________________________
(2)	Name and Style of the business if any	______________________________________________________
(3)	TIN under MVAT Act, 2002 if any	______________________________________________________
(4)	Address of place of business / person	______________________________________________________
		______________________________________________________
		______________________________________________________
		______________________________________________________
(5)	Amount of excess tax collected	______________________________________________________
(6)	Period of order	From ______________________ To _____________________
(7)	Date of order of forfeiture	______________________________________________________

Seal

Place	____________		Signature	___________________
Date	____________	Designation		___________________