Form VAT - XXXI [See rule 12 of the Goa Value Added Tax Rules, 2005] APPLICATION FOR RAISING OBJECTION AS TO THE JURISDICTION OF ANY OFFICER OR PERSON Name and address of the dealer ............. TIN To, ........ ........ I/We am/are in respect of your notice under reference no....dated..... requiring me/us to .... In this regard I/We .....object to your jurisdiction for the issue of the said notice to me/us on the following ground (may be recorded in separate sheet if the space is insufficient ) A certified copy of the notice in respect of which the jurisdiction has been objected is enclosed. Prescribed fees of Rs. 100/- are paid by way of court fee stamp affixed on this application. Place: Signature......... Name of the person signing..... Date: Relation with dealer or persons .... _____