FORM VAT 60

[Rule 74(1)]

Application for composition of offence under Sub-section (1) of Section 68

To

The Dy. Commissioner (Adm.)

Zone ___________

Sir,

I have been served with a notice for imposition of penalty U/s 61(1) / prosecution u/s 67. Details of the offence for which notice has been issued, are as under :-

(1) Nature of offence committed

(2) Section relating to the offence:

(a) Penalty u/s 61(1)

(b) Prosecution u/s 67

(3) Date of Survey conducted

(4) Date of detection of the case

(5) Date of last notice received

(6) Registration No. (TIN), if any

(7) Designation of issuing officer/authority of notice In this regard, it is submitted that I admit the offence and request for composition of the offence in lieu of penalty or prosecution.