(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.