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The Orissa Entry Tax - Forms
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FORM E 7

ASSESSMENT ORDER UNDER ORISSA ENTRY TAX ACT, 1999

[See rule 16]

01. Office address :  
  .................................................................

.................................................................

.................................................................

 
Date Month Year

     

 

 

02. TIN/SRIN/Identification No.
 

 

03.

 Whether the dealer is unregistered

(Please "Tick" mark whichever is applicable)
Yes     No

 

 

   
 

 

 

04. Name and address of the Dealer
 

 

 

05.

Period (s) covered under this order.  
From
Date Month Year

     

 

 

To
Date Month Year

     

 

 

06. Assessment under section 9C/9D/10 of the Orissa Entry Tax Act, 1999.

(Strike out whichever is not applicable)

07. Tax Declared/ Refund claimed.
Rs.

 

08. Tax paid.
Rs.

 

09. Tax assessed
Rs.

 

 

10. Tax / Refund found to be due
Rs.

 

11. Tax over declared/under declared (due to the dealer) (due to the State)

(Strike out whichever is not applicable)
 

 

 

12. Interest levied u/s
Rs.

 

 

13. Penalty imposed u/s
Rs.

 

14. Total amount of interest and penalty due to be paid
Rs.

 

 

15. Total amount of tax, interest and penalty due to be paid
Rs.
 

 

 

ORDER

 
   
Office seal ASSESSING AUTHORITY
Place ________________ SIGNATURE
Date ________________ DESIGNATION.