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Entry Form XV

FORM 15

(See rule 19)

Security bond for stay of collection of Tax or other

amount in dispute

Before the Tribunal/Deputy Commissioner/Assistant Commissioner.

 

No. ..............................

 

Dated:

Security Bond executed in fovour of the Governor of Goa and his successors in office and assigns.

Whereas ..................... holding R.C. No. ............ in the office of the ........................... has filed an appeal before the Tribunal/ Deputy Commissioner/ Assistant Commissioner ..................... against the order of ........................ in his/its order No. ............... dated ............... and the said appeal is pending.

And whereas the said appellant has applied for direction in regard to the payment of disputed tax/penalty and has been called upon to furnish security.

Accordingly, and in consideration whereof I/We, ........................ hereby personally undertake and bind myself/ourselves, my/our heirs, successors and legal representatives to pay the Government of Goa the sum of Rs.............. To the Government and mortgage ............... /charge properties in the schedule hereunto annexed for the payment of the said sum of that if the aforesaid appellant complies with all the directions in regard to the payment of tax or other amount made by the Tribunal/Deputy Commissioner/ Assistant in the said appeal this bond shall be avoid and of no effect, otherwise it shall remain in full force and effect.

In witness whereof I/We, ............................................. hereunto affix my/our hands and seal this day ............ dated ............

 

Witness :

 

(1)

 

(2)

Appellant/Surety

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