Form of reporting the payment under Sub section (3) of Section 214 of the Finance Act, 2016 (28 of 2016) in respect of Indirect Tax Dispute Resolution Scheme, 2016

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....e 4(2)] FORM OF REPORTING THE PAYMENT UNDER SUB SECTION (3) OF SECTION 214 OF THE FINANCE ACT, 2016 (28 OF 2016) IN RESPECT OF INDIRECT TAX DISPUTE RESOLUTION SCHEME, 2016 [IN DUPLICATE] To, ....

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....d the amounts as follows on ......................   Amount as per order in original Amount deposited Duty     Interest     Penalty   ....