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Form - SPL
Form GST SPL - 05

Order for conclusion of proceedings as per section 128A

1[FORM GST SPL -05

[See rule 164(10)]

Order for conclusion of proceedings as per section 128A

Reference No. ……

Date:

To,

GSTIN of applicant ……………………………

Legal Name of applicant ……………………………

Address of applicant …………………………

Reference Noof FORM GST SPL-01/ FORM GST SPL-02 …………….. dated ……………

Subject: Order for approval of application submitted under Section 128A

This has reference to your application with reference no. …… dated ….. furnishing details/ information and documents in support of your request for availing the benefit of waiver of interest or penalty or both under section 128A.

OR

This has reference to your application with reference no. …… dated ….. , and your reply in FORM GST SPL-04 with reference no. …… dated …… furnishing details/ information/ submission and documents in support of your request for availing the benefit of waiver of interest or penalty or both under section 128A.

2. Upon verification of the details provided in your application and the reply, where applicable, waiver of interest or penalty or both under section 128A, is allowed as under:

3. Demand Notice/ Demand Order Details:

a. Order No/ Notice No.:

b. Date of order/ Notice:

Financial Year Amount demanded in the notice/ statement/ order against which application under section 128A was filed (A) Out of the amount mentioned in (A), demand pertaining only to ITC which has been denied solely on account of contravention of section 16(4) and not on any other grounds, and which has now become eligible as per section 16(5) or section 16(6)

Place

of

Supply

(PoS)

Act

Tax

including cess

Interest Penalty Fee Others Tax including cess
1 2 3 4 5 6 7 8 9
    CGST            
    SGST            
    IGST            
    Cess            
  TOTAL            
    CGST            
    SGST            
    IGST            
    Cess            
  TOTAL            

 

Amount already paid towards the said notice/ statement / order Amount of interest and penalty  waived as per section 128A Remaining amount of interest and penalty, payable, if any, by the applicant (in cases referred to in sub-rule (3) and sub-rule (4) of rule 164)

Place

of

Supply

(PoS)

Act

Tax

including cess

Interest Penalty Fee Others Interest Penalty Interest Penalty
10 11 12 13 14 15 16 17 18 19 20
  CGST                  
  SGST                  
  IGST                  
  Cess                  
TOTAL                  
  CGST                  
  SGST                  
  IGST                  
  Cess                  
TOTAL                  

[Signature]

[Name of the Tax Officer]

[Designation]

[Jurisdiction]

[Address]

Notes -

Any incorrect declaration or suppression of facts will render this approval void and may lead to recovery proceedings for the outstanding dues along with applicable interest and penalties.]1