FORM VII-B BOND OF INDEMNITY (See Rule-27) And I bind myself, my heirs, executors, administrators and assignees and each one of the other persons having any share, title or interest in the aforesaid business and his heirs, executors, administrators and assignees jointly & severally for holding harmless and indemnify the Government for any such loss as aforesaid. Proprietor/Partner/Manager/Principal Officer I, Shri Son of Shriresiding at P..S. P.ODistrictProprietor/ Partner/ Manager/ Principal Officer of the business known asand possessing a certificate of registration bearing number in the State of Orissaissued under the Orissa Sales Tax Act, 1947, do hereby declare that the declaration form bearing No. issued to me by the Sales Tax OfficerCircle, on is lost / destroyed/stolen (1) from my custody before being filled in or signed by me.(2) from my custody after being filled in and signed by me but before despatch to the selling dealer,namely(3) in transit after being duly filled in and signed by me and And, I, the aforesaid Shri do hereby undertake to hold harmless and to indemnify the Government against any loss arising out of the aforesaid loss of declaration form.Government of OrissaDepartment of Finance Published on National Portal of India (india.gov.in) despatched to these dealer, namely Proprietor PartnerManagerPrincipal Officer