Panchayat:Repo18/vol1-page0983

FORM XA
Surcharge Certificate
See sub-rule (7) of rule 20)

No.Office of the Director of

Local Fund Audit,


Thiruvananthapuram,



I............... . Director of Kerala Local Fund Audithereby certify under sub-section (1) of Section 16 of the Kerala Local Fund Audit Act, 1994 as follows:- During the year....................... the......................... has Sustained a loss of Rupees ............. (Rupees....................................................................................... only) on account of excess fillegal payment made/authorised to be made by SriSmt.................................... ................................ who held the post of (now working as ) and hence Sri/Smt. ....... is held responsible for the said loss of Rupees.................................. The above loss Was pointed out in paras ................. of the audit report and item numbers of the objection statement attached to the audit report of........................... for the year......................................

In the Surcharge notice issued in reference No..................................................Sri Smt.......................... Was requested to remit the amount of Rs........................ (Rs........................... only) to the credit of and to intimate the fact to this office within two months from the date of receipt of the notice or to state within two months why the said amount should not be surcharged on him/her in exercise of the powers conferred under sub-section (1) of Section 6 of the Kerala Local Fund Audit Act, 1994.

The Surcharge notice dated................................................ was served on him/her by registered post with acknowledgement due along with the extracts of the relevant objections in the audit report and he/ she has acknowledged the receipt of the same on....................... But intimation regarding the remittance of the said amount of Rupees................to the Credit of....................... has not been received so far. But intimation regarding the payment of Rupees............................. involved in paras..................................... ..only have been received so far. The explanation dated........................................ furnished by Sri/Smt - - - - - - - - - - - - - - to the surcharge notice in respect of paras...................has been considered in detail and found to be not acceptable.


A sum of Rupees.................. (Rupees.............................. only) detail of which are given in paras................................................. of the audit report for the year ................... and item number........................................................ of the objection statement attached to the report is therefore Surcharged on SriSmt.............................................................. the then.........................................................(now Workingas......................................................).


Sri/Smt..................................................... is liable to pay the amount to the credit of .......................................... within one month from the date of receipt of this certificate, failing which the amount shall be recovered under the provisions of the Kerala Revenue Recovery Act, 1968 (15 of 1968) in exercise of the powers conferred under sub-section (4) of section 16 of the Kerala Local Fund Audit Act, 1994.

                                                        Dated at Thiruvananthapuram, the ........................day of..................................
Director.

To

Sri/Smt...................

.................................

Receipt of this certificate may be acknowledged in the duplicate copy enclosed and returned to this office.

Copyto:-

1.

2.

3.

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