FORM GST DRC –01D
[See rule 142B]
Intimation for amount recoverable under section 79

Reference No.    

- Date

1. Details of intimation:

(a) Financial year:

(b) Tax period: From --- To --------

2. Section(s) of the Act or rule (s) under which intimation is issued: < Drop down or check box for section 75 (12) r/w 79 may be provided>

3. Details of tax, interest or any amount payable:

(Amount in Rs.)

You are hereby directed to make the payment within seven days failing which proceedings shall be initiated against you to recover the outstanding dues as per the provisions of section 79 of the Act.

Signature:
Name:
Designation:
Jurisdiction:
Address:

To,

GSTIN/ID
Name
Address

Note -

1. Only applicable fields may be filled up.”

Place

Date