FORM VAT-28 [See rule 42(1) ] RECOVERY CERTIFICATE 1. Name and address of defaulter-assessee 2. TIN ........./ Registration No......../TOT/CT 3. Demand recoverable - Period to which demand relates 4. Details of demand recoverable (i) Tax (ii) Interest (iii) Penalty (iv) Any other Sum (v) Total 5. Date of service of Notice of Demand. 6. Date on which the demand was payable as specified in notice of Demand. 7. In case period of recovery was extended by any authority and the date up to which extended. 8. Names and address of the persons having interest in the business of the dealer (i) In the case of firm of the partners thereof (ii) In the case of HUF of the Coparcener thereof. (iii) In the case of Company of the Directors thereof. (iv) In the case of any other Association, of the members thereof. 9. The particulars of movable and immovable properties owned by the Dealer and in case the dealer is a Firm, Company or any other Association, properties owned by the partners, Directors or Members thereof, as the case may be. Certified that the particulars given are correct and complete to the best of my knowledge and information. Date: Office seal Signature of Appropriate Authority Forwarded in original to the Collector______________________ with the request that the above demand may be recovered under section 44(6) of the J&K Value Added Tax Act, 2005 as arrears of Land Revenue along with the interest payable under the relevant provisions of the said Act from the date specified in column 6 above. Date....... Signature of Appropriate Authority Copy forwarded to the assessee for information