Form - VAT XXIII (See rule 41 of the Goa Value Added Tax Rules, 2005) CERTIFICATE OF RECOVERY OF ARREARS (1) Full Name and address of the defaulter; (3) The name of the person or persons, if any, responsible for the payment of amount due; (4) The sum to be received; (5) Period to which the sum relates; (6) The provisions of law under which the sum is recoverable as an arrears of land revenue; (7) The process by which the sum may be recovered (8) The property against which the process may be executed; (9) The head of account to which the amount should be credited; and (10) Any other information relevant for the purpose of recovery of the arrears. (Seal of Appropriate Signature____________ Assessing Authority) Appropriate Assessing Authority ______________Ward. Dated To, ___________________ ___________________