(FORM
XXII)
(See Rule 33B of
A.P.G.S.T. Rules, 1957)
Form
of Application
To
The
Commercial Tax Officer,
The
Assistant Commissioner of Commercial Taxes.
The
Deputy Commissioner of Commercial Taxes.
_________________________________________
1.
Name of the applicant.
2.
Assessment Year.
3.
Authority passing the order or proceeding disputed.
4.
Date on which the order or proceeding was communicated.
5.
(1) (a) Turnover determined
by the assessing authority.
(b) Tax assessed.
(c) Tax disputed
or
(2) Penalty disputed.
6.
Grounds or revision etc.
(attach additional sheet if necessary)
7.
Address to which the communications may be sent to the applicant.
Signature of the applicant(s)
Signature of the Authorised representative, if any.
VERIFICATION
I/We________________________________________________________________________the
applicant(s) do hereby declare that what is stated above is true to the best of
my/our knowledge and belief.
Verified
today the_________________day of_____________________________________20______
Signature of the applicant(s)
Signature of the Authorised Representative, If any.
Note:
1.The revision application should be accompanied by the original order
against which it is
filed or by a certified copy thereof unless the omission to
produce such order or copy is explained to the satisfaction
of the revisional authority.
2.The
revision application should be written in English and should set forth with
concisely and under distinct heads the grounds of revision without any
argument or narrative and such grounds should be numbered
consecutively.
3.The application should be in duplicate.