FORM GST REG-28
[See rule 24(3)]
Reference No. -
<< Date – DD/MM/YYYY >>
To
Name
Address
GSTIN /Provisional ID
Application Reference No. (ARN)
Dated – DD/MM/YYYY
Order for cancellation of provisional registration
This has reference to your reply dated ---- in response to the notice to show cause dated -----.
1.
2.
Determination of amount payable pursuant to cancellation of provisional registration:
Accordingly, the amount payable by you and the computation and basis thereof is as follows: You are required to pay the following amounts on or before ------ (date) failing which the amount will be recovered in accordance with the provisions of the Act and rules made thereunder.
Head | Central Tax | State Tax | UT Tax | Integrated Tax | Cess |
Tax | |||||
Interest | |||||
Penalty | |||||
Others | |||||
Total |
Place:
Date:
Signature
< Name of the Officer>
Designation
Jurisdiction