Assessment No. Registration No. FORM 29 (See rule 11(1)c] To, .........., .........., ........... Take note that for the year ending ...... you have submitted a return of turn-over in Form -28 showing the tax payable by you as Rs..... after deducting the tax already paid by you under section 18 of the Goa Tax on Entry of Goods, for the said year, a sum of Rs...... (in words) ..... is still payable by you which amount you should have paid on or before ..... the dates on which you submitted the return. You are hereby called upon to pay the said amount alongwith penalty under sub-section (2) of Section 19 within thirty days from the date of service of this notice on you, by remittance to the Government Treasury in Form -27 at ...... failing which the amount and the said penalty will be recovered in the manner specified in sub-section (4) of section 19 of the Goa Tax on Entry of Goods Act, 2000. Assessing Authority, Seal Place: Date : Strike out whatever is not applicable.
