FORM VAT-XXVIII

[See rule 61 (3)]

Security bond to be furnished by the owner of goods/driver or other person incharge of the goods vehicle or vessel

BEFORE THE OFFICER INCHARGE OF THE CHECK-POST OR BARRIER OR THE OFFICER EMPOWERED UNDER SUB-SECTION (6) OF SECTION 34 OF THE HIMACHAL PRADESH VALUE ADDED TAX ACT, 2005.

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

Petitioner

Versus

THE STATE OF HIMACHAL PRADESH RESPONDENT

SECURITY BOND executed in favour of the Governor of Himachal Pradesh and his successor-in-office and assigns.

WHEREAS the officer-in-charge of the check-post/barrier (name of the Check-post or barrier) or the officer empowered under sub-section (6) of section 34 had directed the owner of goods/driver or the other persons incharge of the goods vehicle or vessel to furnish adequate security and in pursuance of such direction, I/We hereby personal undertake and bind myself/ourselves, my heirs/our heirs and legal representatives to pay the Government of Himachal Pradesh the sum of Rs. ............... (Rupees.................) and mortgage/charge the properties specified in the schedule hereunto annexed for the payment of the sum of Rs. ..............(Rupees .................) to the Governor of Himachal Pradesh and covenant that if the penalty or other amount due under section 34 is paid this bond shall be void and of no effect otherwise it shall remain in full force and effect.

IN WITNESS WHEREOF I/WE have hereunto affixed/our hands and seal this day of ...........................................200 ..................at..........................................

Witness:

Note.—

The Security bond should be affixed with adhesive non-judicial stamps of the value of ................. When the amount secured does not exceed Rs. 1,000 and with adhesive non-judicial stamps ........... of the value of ................. when the amount secured exceeds Rs. 1000.