FORM GST SPL 03

A. 1 Notice in response to an application filed under Section 128A

[See rule 164(8)]

Date:

Reference No.:

To

GSTIN of applicant..............................................

Legal Name of applicant.......................................

Address of applicant..........................................

Reference No. of FORM GST SPL -01 or FORM GST SPL -02.................. dated......................

Subject: Notice in response to application filed under section 128A-regarding

1. Whereas, you have submitted an application under section 128A. declaring your outstanding dues and seeking waiver of interest and penalty in the FORM GST SPL-01/ FORM GST SPL-02 bearing reference no dated

2. Upon verification of your application and the details provided therein, your application is liable to be rejected for the following reasons:

- [Reason 1]

- [Reason 2]

OR/AND

In this regards, it appear that the amount of tax is short paid by you as given below:

Demand details (A)

Demand paid through FORM GST DRC 03 (in case of notice/ statement) or by crediting electronic liability register in case of orders Out of amount mentioned in (A), demand pertaining only to ITC which has been denied solely on account of contravention of section 16(4) and not on any other grounds, and which has now become eligible as per section 16(5) or section 16(6). if any.

Demand Short Paid

Notice id/ Order id No. Financial Period IGST CGST SGST CESS Total Tax including Cess IGST CGST SGST CESS Total Tax including Cess IGST CGST SGST CESS Total Tax including Cess IGST CGST SGST CESS

Total Tax including Cess

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21

22

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3. You are hereby required to show cause, along with necessary documents in FORM GST SPL-04, to support your claim, as to why your application no……….. dated …….. should not be rejected.

4. You are also granted an opportunity for a personal hearing on [date and time] at [venue]. You may appear in person or through an authorized representative to present your case.

[Signature]

[Name of the Tax Officer]

[Designation]

[Jurisdiction]

[Address]

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