Department of Goods Tax Government of Arunachal Pradesh Form SU-01 (See Rule 32 of the Arunachal Pradesh Goods Tax Rules, 2005) << Date >>Reference No << Reference Number >> <<Address for Services>>{if different from the address of principal place of business} To _______________ (Name of the dealer) _______________ (Address of the dealer) _______________ (Registration Number of the dealer) Order of forfeiture of security With reference to show cause notice dated << Notice Date >>, wherein your security was proposed to be forfeited or was insufficient for reasons mentioned in the notice with effect from <<date of forfeiture/insufficiency>>, and, Whereas the dealer on the day fixed for hearing / did not file reply to show cause notice, (or) Whereas the dealer appeared on the appointed date & furnished the explanation which has been considered and reply to the show cause notice is not found to be satisfactory for the following reasons: << Reasons >> Therefore, I hereby forfeit the security furnished by the dealer under the Arunachal Pradesh Goods Tax Act with effect from <<date of forfeiture>> or Therefore, I hereby order that the security furnished by the dealer under the Arunachal Pradesh Goods Tax Act is insufficient from <<date of insufficiency>> You are hereby directed to make good the above mentioned deficiency of security in <<form of security>> within fifteen days from the date of service of this order. (Signature) (Designation) (Place) (Date) Department of Goods Tax Note: Please write your RC No. while communicating with the Arunachal Pradesh VAT Department in this matter or in any other matter whatsoever. You have a right to object against this order Under Sec 75.