FORM  G
 Form of Indemnity Bond
[See Rule 12(2) and 12(9)]

KNOW ALL MEN BY THESE PRESENTS THAT I_________________________________________ S/o _______________________________________________________ registered dealer under the Central Sales Tax Act, 1956 under registration No.____________________________________dated _____________________ in the State of ________________________________________________ I/We/M/s.___________________________________________________________/a firm/a company registered under the laws of India and having its registered office at __________________________ _________________________________________________________________________________ registered dealers under the Central Sales Tax Act, 1956 under registration No.________________________ in the State of__________________________________________  (hereinafter called the Obligor is/are held and firmly bound into the President of India/Governor of _________________________________________ (hereinafter called the Government) in the sum of ____________________(Rupees____________________________________________________________________________________________) (In words) well and truly to be paid to the Government on demand and without demur for which payment to be well and truly made.  I bind myself and my heirs, executors, administrators, legal representatives and assigns we bind ourselves our successors assigns and the persons for the time being having control over our assets and affairs.

Signed this______________day of___________________Two thousand __________________

 WHEREAS sub-rule (2) of Rule 12 of the Central Sales Tax (Registration and Turnover) Rule, 1957 requires that in the event a blank or a duly completed form of declaration is lost while it is in the custody of the purchasing dealer or in transit to the selling dealer, the purchasing dealer and as the case may be also a selling dealer each to furnish in indemnity bond to, in the case of purchasing dealer, the notified authority of his State.

 AND WHEREAS the Obliger herein in such  purchasing dealer/ selling dealer.

 AND WHEREAS the Obliger has lost the declaration in Form C/ Form F / the certificate in Form EI/Form EII, bearing No._________________________  which was blank/ duly completed, and was issued to him by ________________________________________________________ (name and designation of the authority)_____________________________________which was issued to him by ________________________________________________________________________ (name and designation of the authority ) and sent to _______________________________________________ ______________________(selling dealer )____________________________________/received by him from________________________________________________________________(name of the purchasing dealer)_________________________________________________________and sent to ____________________________________________________________________________(notified authority of the selling dealer’s State_________________________________________________) in respect of the goods mentioned below (hereinafter referred to as the Form).

NOW the condition of the above written bond or obligation is such that the obliger shall in the event of a loss suffered by the Government (in respect of which the decision of the Government or the authority appointed for the purpose shall be final and binding on the Obliger) as a result of the misuse of the Form pay to the Government on demand and without demur _______________ the said sum of Rs.___________________(Rupees____________________________________________________ ___________________\(in words) and shall otherwise indemnity and keep the Government harmless and indemnified against and from all liabilities incurred by the Government  as a result of the misuse of such Form THEN the above written bond or obligation shall be void and of no effect but otherwise shall remain in full force, effect and virtue.   The obliger further undertakes to mortgage/charge the properties specified in the Schedule hereunder written by execution of proper deed of mortgage/ charge for the payment of the said sum. [Whenever  called upon to do so by the assessing authority].

SCHEDULE

(Give details of properties mortgaged/charged)

AND THESE PRESENTS ALSO WITNESSETH THAT the liability of the obliger hereunder shall not be impaired or / discharged by reason of any forbearance, act or omission of the Government or for any time being granted or indulgence shown by the Government, or by reason of any change in the constitution of the obliger in cases where the obliger is not an individual.

 The Government agrees to bear the stamp duty if any chargeable on these presents.

 IN WITNESS WHEREOF the obliger “ has set his hand/ has caused these presents executed by its authorised representatives, on the day, month and year above written.

 
Signed by the above named obliger.

In presence of :

1.

2.

(Obliger’s signature)

Accepted for and on behalf of the President of India/Governor of ____________________________________________________________ by name and designation of the Officer duly authorised in pursuance of Article 299(1) of the Constitution, to accept the bond for and on behalf of the President of India/ Governor of ________________________________________________________ in presence of:

1.

2.

Name and Designation of the Officer