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

[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 thereunder, failing which proceedings as deemed fit may be initiated against you under the provisions of the Act.

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