FORM VIA

ORDER OF PROVISIONAL ASSESSMENT

[See clause (b) of sub-rule (1) of rule 12 of the Central Sales Tax (Orissa) Rules, 1957]

ASSESSMENT ORDER

Despite issue and service of notice in Form-II-B pointing out the deficiencies based on scrutiny of the returns with reference to the related forms of declaration and certificates filed / not filed for the above period and having been afforded with such further opportunities,

(a) you have failed to furnish forms of declaration / certificates in support of the following transactions

(i)-------------------------

(ii)------------------------
(iii)------------------------

(b) the following forms of declaration / certificates are found to be, not in order / incomplete / defective (briefly mention the defect or omission)

(i)-------------------------

(ii)------------------------
(iii)------------------------

(c) the following arithmetical mistake(s) resulting in less payment of tax remain un-reconciled:

(i)-------------------------

(ii)------------------------
(iii)------------------------

(Strike out whichever is not applicable)

You are, therefore, provisionally assessed to extra tax payable for the said period at Rs.-------- /- (Rupees ----------------- in words) as calculated in the enclosed sheet, which you are required to pay as per the terms and conditions of the demand notice enclosed.

If you are not satisfied with the order of assessment, you may prefer appeal before the Joint / Deputy Commissioner of Sales Tax within 30 days from the date of receipt of the order.

ASSESSING AUTHORITY

SIGNATURE

DESIGNATION