FORM CST IX

Notice of Final Assessment and Refund Order

[See Rule 14-A(7)]

To

(Dealer)

Take notice that you have been finally assessed under the Central Sales Tax Act, 1956 to a tax of Rs ................................
(Rupess ....................................................................) (in words) only for the year ending the 31st March, 19 ...........
The total amount of tax paid by you already is Rs. ......................... (Rupees..............................................) (in words)
only that is Rs............................... in excess of the tax due.

2.    Out of the above excess a sum of Rs ................................... will be adjusted towards tax due from you for
        the period.

3.    A refund order of the amount of Rs ......................................... is enclosed.  You should apply to the Government
        Treasury at ..................................................... for the refund of sum of ................................ within 3 months
        from the date of issue of this notice failing which the amount will lapse to the Government.

Turnover as determined by the assessing authority in respect of ...............
_______________________________________________________________________________________________
      Nature of goods                                                    Rate of tax                                                     Turnover
_______________________________________________________________________________________________|
              (1)                                                                       (2)                                                                (3)
_______________________________________________________________________________________________
            Total

            Place:

            Date:

                                       The above Form was inserted by G.O.Ms.No. 1805, Revenue, dated 30.9.1958.