FORM 10 (See rule 16) Notice for payment of tax due accordingly to a Return under section 13 of the Goa Tax on Luxuries Act, 1988. To, ............. of ............ Registration Certificate No. ......... Gentleman/ Sir/ Madam, Whereas the return under section 13 of the Goa Tax on Luxuries Act, 1988 for period from .... to ...... has been furnished by you- * but the amount of tax, namely Rs. ....(and the amount of interest of Rs..... and penalty of Rs. .....) which is due accordingly to the return has not been paid as required under rule 11 of the Goa Tax on Luxuries Rules, 1988. * but the copy of the challan accompanying the return shows payment of only Rs. ..... as against the amount of tax of Rs. .... (and the amount of interest of Rs. ..... and penalty of Rs. .....) which is due according to the return and required to be paid under rule 11 of the Goa Tax on Luxuries Rules, 1988. You are hereby directed to pay the sum of Rs.....(in words) (Rupees...............) into the Government Treasury at ......... on or before (date) ..... and to produce the receipted copy of the challan in proof of payment before me on a date later than the ...........day of ........ failing which the said sum of Rs. .... will be recoverable from you as arrears of land revenue. 2. You are hereby informed that if you fail to pay the amount of tax aforesaid without any reasonable cause, you shall be liable under sub-sections (1) (c) of section 17 of the Goa Tax on luxuries Act, 1988 for payment of an additional sum by way of penalty, and also interest at the rate of two per cent of the amount of tax for each complete month during the time you continue to make the default in the tax. Yours faithfully, Signature Luxury Tax Officer/ Assistant Commissioner of Luxury Tax Seal Place .... Date ...
