FORM GST DRC- 05

[See rule 142(3)]

Reference No:                                                                                                       Date:

To

                               GSTIN/ID

Name

                               Address

Tax Period ————-                                     F.Y. ———-

SCN –                                                              Date –

ARN –                                                              Date –

Intimation of conclusion of proceedings

This has reference to the show cause notice referred to above. As you have paid the amount of tax and other dues mentioned in the notice along with applicable interest and penalty in accordance with the provisions of section   , the proceedings initiated vide the said notice

are hereby concluded.

Signature Name Designation

Copy to – –

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