THE KERALA GOODS AND SERVICES TAX FORMS 2017
ASSESSMENT

Form GST ASMT - 11

[See rule 99(2)]

Reply to the notice issued under section 61 intimating discrepancies in the return

1. GSTIN

2. Name

3. Details of the notice

Reference No.

Date

4. Tax Period

5. Reply to the discrepancies

Sr. No.	Discrepancy	Reply

6. Amount admitted and paid, if any -

Act	Tax	Interest	Others	Total

7. Verification-

I_____________________hereby solemnly affirm and declare that the information given hereinabove is true and correct to the best of my knowledge and belief and nothing has been concealed therefrom.

Signature of Authorized Signatory

Name

Designation / Status --------

Date -