FORM VAT - 36C

[See rule 65]

INDEMNITY BOND

Know all men by these presents that I/We ________________________ (Full address of the taxable person) _____________________ registered under the Punjab Value Added Tax Act, 2005 under registration No. _____________________ dated _________________ In the state of Punjab (hereinafter called the Obliger) am/are held and firmly bound up to Government of Punjab( hereinafter called the Government ) in the sum of ____________ (rupees in words) (hereinafter referred to as "the said sum") to be paid to the Government on demand for which payment well and truly be made. I/We bind myself/ourselves and my/our heirs, executors administrators, legal representatives and assigns and the persons for the time being having control over my/over assets and affairs by these presents.

Signed this _____________________ day of ____________________ two thousand and _______________________

Whereas clause (e) of sub rule (2) of Rule 52 of the Punjab Value Added Tax Rules, 2005 requires that in the event a blank or a duly completed Form VAT- 36 is lost while it is in the purchasing dealer or the selling dealer or in transit as the case may be, is required to furnish an indemnity bond. In the case of the dealer registered in the State in the State of Punjab, the indemnity bond is to be furnished to the Assessing Officer from was obtained and in the case of a dealer of a dealer of other State to the notified authority of his State.

And whereas the obliger herein is a taxable person of Punjab/other State.

And whereas the obliger has lost the declaration Form VAT- 36 bearing No. _______________________ which was blank/duly completed and was issued by Designated Officer _________________________ and which was issued by me/us to ____________________________ (taxable person of other State) /received by me/us from _________________________________________ (name of the taxable person of Punjab) /received by me/us from _____________________________ (name of the taxable person of Punjab) in respect of the goods mentioned below:

Now the condition of the above written bond is such that the obliger shall in the event of a loss suffered by the Government (in respect of which the decision of the Government or the authority appointed for the purpose, shall be final and bonding on the obliger) as a result of the misuse of misuse of the form, pay to the Government on demand and without demur the said sum of Rs. ____________ Rupees (in words) ______________________ and shall otherwise indemnity and Government as a result of the misuse of such form, then the above written bond shall be void and of on effect but otherwise shall remain in full force effect and virtue. The obliger further undertakes to mortgage/charge to properties specified in the schedule here under written by execution of proper deed of mortgage/charge for the Payment of the said sum.

SCHEDULE

(Give details of properties mortgaged/charged)

And these presents also witnesseth that the liability of the obliger hereunder shall not be impaired of discharged by reason of any forbearance, act or omission of the Government or for any time being granted or indulgence shown by the Government.

The Government agrees to bear the stamp duty, if any, chargeable on these presents.

In witness whereof the obliger has hand/has caused these presents executed by his authorised representatives on the day month and year above written in the presence of:-

1. _________________________

2__________________________

(obligers Signature)

Accepted for and on behalf of the Governor of Punjab by name and designation of the officer duly authorised in pursuance of Article 299 (1) of the Constitution of India, to accept the Bond for and on behalf of the Governor of Punjab. In the Presence of :-

1.__________________________

2.___________________________

(Signature of the Designated Officer with name,

Designation and seal