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Entry Form VI

FORM 6

[See rule 8(3)]

NOTICE

To,

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

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

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

Registration Certificate No. ..................

 

Take notice that you have been provisionally assessed under the Goa Tax on Entry of Goods Act, 2000 to a tax of Rs. ............ (Rupees) ......... ..........................................(in words) ............... only for the month covering the period from ............ to ............ after deducting the tax already paid, you have to pay a further sum of Rs............... (Rupees) ............................................(in words) only. This balance of tax shall be paid within 30 days from the date of service of this notice, by remittance into the Government Treasury by challan in Form - 27, failing which the amount will be recovered in accordance with sub-section (4) of Section 19 and you will also be liable to penalty as provided in sub-section (2) of Section 19.

(i) Total Tax provisionally assessed Rs.
(ii) Less Tax paid provisionally under Rs.
  Sub-rule (1) and /or (2) of Rule 7

 

(iii) Balance of tax due Rs.

Place:

Date :

 

 

Signature of the Assessing

Authority.

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