[FORM GST DRC-01A1 Intimation of tax ascertained as being payable under section 73(5)/74(5) [See Rule 142 (1A)] Part A No.:                                                                                                                            Date:

Case ID No.     

 To                  

  GSTIN……………………………Na me……………………………                                                                    Address………………………… 

Sub.: Case Proceeding Reference No………………- Intimation of liability under section

73(5)/section 74(5) – reg.

Please refer to the above proceedings. In this regard, the amount of tax/interest/penalty payable by you under section 73(5) / 74(5) with reference to the said case as ascertained by the undersigned in terms of the available information, as is given below: