FORM GST DRC-09
[See rule 143]

To
___________
----------------

Particulars of defaulter -
GSTIN –
Name -
Demand order no.:                                                                                                                                                                                                     Date:
Reference no. of recovery:                                                                                                                                                                                          Date:
Period:

Order for recovery through specified officer under section 79

Whereas a sum of Rs. << -------->> on account of tax, cess, interest and penalty is payable under the provisions of the <<SGST/UTGST/ CGST/ IGST/ CESS>> Act by the aforesaid person who has failed to make payment of such amount. The details of arrears are given in the table below:

“Act

Tax/Cess

Interest

Penalty

Fee

Others

Total
1 2 3 4 5 6 7
Integrated tax            
Central tax            
State/UT tax            
Cess            
Total            

 

<< Remarks>>

You are, hereby, required under the provisions of section 79 of the << SGST >> Act to recover the amount due from the << person >> as mentioned above.

Signature
Name
Designation

Place:
Date: