FORM NO. 57
[See rule 117B]
Certificate under section 222 or 223 of the Income-tax Act, 1961
NOTICE OF DEMAND UNDER RULE 2 OF THE SECOND SCHEDULE
TO THE INCOME-TAX ACT, 1961
 Office of the TRO......................
Dated the.....................................
To
........................................  (GIR/PAN)
1. *This is to certify that a sum of Rs. ...................... has become due from you on ...................... in the
status of ............................................, details of which are given on the reverse.
Whereas a certificate bearing Serial Number ..................... dated ..................... had been forwarded by
the Tax Recovery Officer, ........................................,  for the recovery of the sum of Rs. ...................
[name of the place]
details of which are given on the reverse [and the said Tax Recovery Officer has sent a certified copy of
the said certificate to the undersigned under section 223(2) of the Income-tax Act, 1961], specifying a
sum of Rs. ...................... which is to be recovered from you.
2. You are hereby directed to pay the above sum within 15 days of the receipt of this notice failing
which the recovery shall be made in accordance with the provisions of section 222 to section 232 of the
Income-tax Act, 1961, and the Second Schedule to the said Act and the rules made thereunder.
3. In addition to the sums aforesaid, you will also be liable for; —
(a) such interest as is payable in accordance with section 220(2) of the said Act for the period
commencing immediately after the issue of this notice;
(b) all costs, charges and expenses incurred in respect of the services of this notice and of war-
rants and other processes and all other proceedings taken for realising the arrears.
SEAL
 ………………………..
Tax Recovery Officer
*Score out whichever paragraph is not applicable.

DETAILS OF AMOUNT IN ARREARS
Rupees
Regular Advance Provisional Assessment year
1. Income-tax
2. Surcharge
3. Additional tax u/s 143
4. Penalty u/s....................
5. Interest u/s...................
6. Fine u/s 131
7. Any other sum
(give details)
8. Interest u/s 220(2) from
the day when amount
became due
9. Total