Form GST ADT 02

[See rule 101(5)]

Reference No.:

Date:

To,
————————–
GSTIN ………………………………..
Name ……………………………………
Address ………………………………….

Audit Report No. ……….. dated ……..

Audit Report under section 65(6)

Your books of account and records for the F.Y……………… has been examined and this Audit

Report is prepared on the basis of information available / documents furnished by you and the findings are as under:

Short of payment Integrated tax Central tax State /UT tax CESS
Tax
Interest
Any amount other

[Upload pdf file containing audit observation]

You are directed to discharge your statutory liabilities in this regard as per the provisions of the Act and the rules made there under, failing which proceedings as deemed fit may be initiated against you under the provisions of the Act.

Signature ………………………….
Name ……………………………..
Designation ……………………….

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