FORM 28

[(See rule 40]

Notice of demand for payment of tax, interest, penalty, or any other dues payable under the Madhya Pradesh Vat Act, 2002.

To,

Shri_____________________________________

(Name of the dealer or person, as the case may be)

Address__________________________________

TIN _____________________________________

1. Take notice that,-

(i) *You have been finally assessed under the Madhya Pradesh Vat Act, 2002, to a tax of Rs_________________(in figures) Rs. ____________________________ (in words) for the period from___________ to______________ which is payable by you.

(ii)*A penalty of Rs.__________ under section/*rule _______has been imposed on you.

(iii) *An amount of Rs.______ as interest payable by you under section ________ has been levied.

2. This*tax/*penalty /*interest includes Rs._________/_________ already paid by you towards tax/*penalty /*interest and the balance is Rs.__________

3. You are hereby directed to pay the sum of Rs.________________(in figures) Rs.________________________ (in words) only into the Government Treasury at____________ on or before (date)_________and to produce the copy of the Challan in form 26 or e-Challan in form 26 A in proof of payment before the undersigned not later than the________ day of_____________ failing which the said sum of Rs.____________(in figures) Rs._______________ (in words) only shall be recovered from you as an arrear of land revenue.

4. A copy of the assessment order/*order imposing penalty is attached.

*Strike out whichever is not applicable.