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FORM VAT- XXIII

(See rule 41 of the Goa Value Added Tax Rules, 2005) 

CERTIFICATE OF RECOVERY OF ARREARS
(1)Full Name and address of the defaulter;: 
(2) TIN:
           
(3) The name of the person or persons,if any, responsible for the payment of amount due;: 
(4) The sum to be received;: 
(5) Period to which the sum relates;  
(6) The provisions of law under which the sum is recoverable as an arrears of land revenue;: 
(7) The process by which the sum may be recovered: 
(8) The property against which the process may be executed; 
(9) The head of account to which the amount should be credited; and: 
(10)Any other information relevant for the purpose of recovery of the arrears.: 
(Seal of Appropriate Assessing Authority)?







Dated

To,

__________________

____________________
 Signature____________________

Appropriate Assessing Authority

______________Ward.
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Commissioner of Commercial Taxes, Vikrikar Bhavan, MG Road, Panjim, Goa, India. Ph.:0832-2229225
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