THE MAHARASHTRA GOODS AND SERVICES TAX, 2017 FORMS
DEMANDS AND RECOVERY

Body

FORM GST DRC - 19

[See rule 156]

To,

Magistrate,

<<Name and Address of the Court>>

Demand order no.:	Date:
Reference number of recovery:	Date:
Period:

Application to the Magistrate for Recovery as Fine

A sum of Rs. << ----- >> is recoverable from <<Name of taxable person>> holding <<GSTIN>> on account of tax, interest and penalty payable under the provisions of the Act.

You are requested to kindly recover such amount in accordance with the provisions of clause (f) of sub-section (1) of section 79 of the Act as if it were a fine imposed by a Magistrate.

Details of Amount
Description	Central tax	State /UT tax	Integrated tax	CESS
Tax/Cess
Interest
Penalty
Fees
Others
Total

	Signature
	Name
	Designation
Place:
Date: