FORM - I

The Appellate Deputy Commissioner of

Commercial Taxes of
_____________________________________
_____________________________________  
_____________________________________

The ______________ day of________________________________ 20 ____  

1. Name(s) of appellant(s) :

2. Assessment Year :

3. Authority passing the order or
proceeding disputed :

4. Date on which the order or
proceeding was communicated :

5. Address to which notice may be
sent to the applicant :

6. Relief claimed in appeal :

a)Purchase value determined
by the assessing authority :

b) If value is disputed

i) disputed value :

ii) tax on disputed value :

c) If rate of tax is disputed

i) Value involved :

ii) Amount of tax disputed. :

d) Any other relief claimed

7. Grounds of Appeal, etc. :

(attach additional sheet if required)

(Signed) Appellant(s)  
(Signed) Authorised Representative, if any
VERIFICATION

I/We_________________________________________________________________the appellant(s) named in the above appeal do hereby declare that what is stated therein is true to the best of my/our knowledge and belief.

Verified today the ____________________day of __________________________20______

(Signed) Appellant(s)  
(Signed) Authorised Representative, if any

Note:

1. The appeal should be accompanied by the order appealed against in original or by a certified copy thereof unless the omission to produce such order or copy is explained to the satisfaction of the appellate authority.

 2. The appeal should be written in English and should set forth concisely and under distinct heads the grounds of appeal without any argument or narrative and such grounds should be numbered consecutively.

 3.             

    (i)       The appeal shall be in duplicate.

   (ii)     The appeal shall be accompanied _______________________

    • (a)     Where it is an appeal against an order of assessment, by a treasury receipt in support of having paid the fee calculated at the rate of the disputed tax or penalty subject to a minimum of fifty rupees and a maximum of one thousand rupees. The fee shall be credited into a Government Treasury to the following Account "___________________________________".
    • (b)     Where it is an appeal against an order not being an assessment, by Court fee stamps of the value of three rupees affixed to one of the copies.