FORM GST DRC-16
[See rule 147(1) & 151(1)]

To
GSTIN -
Name -
Address -
Demand order no.:                                                                                                                                                           Date:
Reference no. of recovery:                                                                                                                                                Date:
Period:

Notice for attachment and sale of immovable/movable goods/shares under section 79

Whereas you have failed to pay the amount of Rs.……………, being the arrears of tax/cess/interest/penalty/ fee payable by you under the provisions of the <<SGST/UTGST/ CGST/ IGST/ CESS>> Act.

The immovable goods mentioned in the Table below are, therefore, attached and will be sold for the recovery of the said amount. You are hereby prohibited from transferring or creating a charge on the said goods in any way and any transfer or charge created by you shall be invalid.

Schedule (Movable)

Sr. No Description of goods Quantity
1 2 3
     

Schedule (Immovable)

Building No./ Flat No Floor No. Name of the Premises /Building Road / Street Locality/ Village District State PIN Code Latitude (optional) Longitude (optional)
1 2 3 4 5 6 7 8 9 10
                   

Schedule (Shares)

Sr. No. Name of the Company Quantity
1 2 3
     

Signature
Name
Designation

Place:
Date: