Form VAT-XI

(See rule (27/29/39) of the Goa Value Added Tax Rules, 2005)

DEMAND NOTICE

No:-........................dated:-................

You are hereby informed that you are liable to pay a sum of rupees.........................................under section(s) ...............of the Goa Value Added Tax Act, 2005 (Act 9 of 2005) as tax (..........................). penalty (..........................) and interest (...........................) vide order dated.........................Copy of the order is enclosed..

2. You are hereby directed to pay the said sum of Rs.......................(in figures).......................................................(in words), in the Treasury /Sub-Treasury /State Bank of India/other notified Bank at......................(place) on or before....................(date) and furnish the receipt in proof of payment to this office on or before...................(date), failing which the said sum will be recovered from you as an arrears of land revenue.

3. A Chalan in Form VAT-V is enclosed for the purpose.