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FORM
VIII
Form of Appeal under Section 11
(See Rule 6(2))
To
The
Appellate Deputy Commissioner
______________________________
______________________________
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 appellant:
6.
Relief claimed in appeal :
a)
Amount of charges determined by the
assessing authority
b)
If amount of charges is disputed :
i)
Disputed amount of charges
ii)
Tax on disputed amount of charges
c)
Any other relief claimed
7.
Grounds of Appeal, etc.
(attach additional sheet if necessary)
(Signed) Appellant(s)
(Signed) Authorised
Representative, if any
CERTIFICATION
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
Additional
sheet for Grounds of Appeal: