FORM GST SPL-04

[See rule 164(9)]

Reply to notice issued under rule 164(8)

Date:

Reference No:

To

Proper Officer ……………………………

Jurisdiction ……………………………

Legal Name of the applicant……………………………

Address of applicant …………………………

Reference No of FORM GST SPL-03: ……. Dated …..

Subject: Reply to the notice issued in respect of application filed under section 128A.

Sir/Madam,

This is in reference to the notice issued in FORM GST SPL-03 vide no …………… dated …………. from your office.

The reply is as under:

Enclosures:

The following documents in respect of payment proof or additional submissions are enclosed for your reference:

• Document 1: [Taxpayer's Document 1]

• Document 2: [Taxpayer's Document 2]

• Document 3: [Taxpayer's Document 3]

Verification:

I ________________ hereby solemnly affirm and declare that the information given hereinabove are true and correct to the best of my knowledge and belief and nothing has been concealed therefrom.

[Signature of Authorised Signatory]

[Name of the of authorised signatory]

[Designation/Status]

[Date]