Form GST REG-19 (Order for Cancellation of Registration)

Form GST REG-19

[See rule 22(3)]

Ref­er­ence No. — Date

To Name Address

GSTIN / UIN

 

Appli­ca­tion Ref­er­ence No. (ARN) Date

 

Order for Cancellation of Registration

This has ref­er­ence to your reply dat­ed —- in response to the notice to show cause dated —–.

• Where­as no reply to notice to show cause has been sub­mit­ted; or
• Where­as on the day fixed for hear­ing you did not appear; or
• Where­as the under­signed has exam­ined your reply and sub­mis­sions made at the time of hear­ing, and is of the opin­ion that your reg­is­tra­tion is liable to be can­celled for fol­low­ing reason(s).

1.

2.

The effec­tive date of can­cel­la­tion of your reg­is­tra­tion is «DD/MM/YYYY ». Deter­mi­na­tion of amount payable pur­suant to cancellation:

Accord­ing­ly, the amount payable by you and the com­pu­ta­tion and basis there­of is as follows:

The amounts deter­mined as being payable above are with­out prej­u­dice to any amount that may be found to be payable you on sub­mis­sion of final return fur­nished by you.

You are required to pay the fol­low­ing amounts on or before —— (date) fail­ing which the amount will be recov­ered in accor­dance with the pro­vi­sions of the Act and rules made thereunder.

 

Head	Cen­tral Tax	State Tax	UT Tax	Inte­grat­ed Tax	Cess
Tax
Inter­est
Penal­ty
Oth­ers
Total

 

Place:

Date:                                                                                                                     Sig­na­ture

< Name of the Officer>

Des­ig­na­tion Jurisdiction

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