GST DRC - 09, Integrated Tax (GST-FORMS)

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: (Amount in Rs.) Act Tax/Cess Interest Penalty Others Total 1 2 3 4 5 6 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: