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THE RAJASTHAN VALUE ADDED TAX RULES, 2006 - FORMS
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Form-27(w.e.f.01-07-2016)

[See rule 30(1)]

Memorandum for Appeal to Appellate authority

To,

Appellate Authority,

Commercial Tax Department,

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

Tick the appropriate Act under which intends to file an appealrefund is sought

The Rajasthan Value Added Tax Act, 2003
The Central Sales Tax Act, 1956
The Rajasthan Tax on Entry of Goods into Local Areas Act, 1999
The Rajasthan Tax on Luxuries (in Hotels and Lodging Houses) Act, 1990
The Rajasthan Entertainments and Advertisements Tax Act, 1957

1.1 Name of the Appelant  
1.2 Registration No.(TIN), if any  
2. Address  
2.1 Building No/Name  
2..2 Area Town and City  
2..3 District  
2..4 Pin Code  
2..5 Email Id  

3 Date of service of order appealed against, DD/MM/YYYY RVAT Act, 2003 CST Act, 1956 RETLA, 1999 Luxury Act, 1990 Entertainment Act, 1957
4 Section, under which order passed          
5 Period to which dispute relates

From ....................To ........................

         
6 Relief claimed in the appeal:          
a. Total liability including Tax, Interest and Penalty          
(i) Determined by the authority          
(ii) Admitted by the appellant          
(iii) Disputed by the appellant          
or/ and
b. Disputed by the appellant          
(i) Disputed Turnover          
(ii) Tax due on disputed Turnover          
or/ and
c. If rate of tax is disputed          
(i) Turnover          
(ii) Amount of disputed tax          
or/ and
d. If amount of Penalty/Interest is disputed          
(i) Section under which Penalty/ Interest is disputed          
(ii) Amount of penalty in dispute          
(iii) Amount of Interest in dispute          
or/ and
7 Any other relief claimed          
8 Whether the admitted liability has been paid          
9 Whether complied with the provisions of section 82(3) of the RVAT Act, 2003          
10

Details of amount deposited for filing of appeal        
  Amount Date of deposit GRN/CIN Name of the Act under which amount has been deposited
         
11 Grounds of Appeal (Separate ground of appeal should be mentioned under each Act)      

Place : Digital Signature
Date : Name of signatory
  Status :  

Verification

I / We ............................. do verify that the above information and its enclosures (if any) is true and correct to the best of my/our knowledge and belief and nothing has been concealed

Place : Digital Signature
Date : Name of signatory
  Status :  

Form-27 (effective upto 30-06-2016)

[See rule 30(1)]

Memorandum for Appeal to Appellate authority

APPEAL U/S. 82 OF RAJASTHAN VALUE ADDED TAX ACT, 2003

Against order dated............... passed by....................

To,

Appellate Authority,

Commercial Tax Department,

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

 

1.1 Name of the Dealer  
1.2 Registration No.(TIN)  

2. Address

2.1 Building No/Name  
2..2 Area Town and City  
2..3 District  
2..4 Pin Code  
2..5 Email Id  

3. Date of service of order appealed against, DD/MM/YYYY  
4. Section, under which order passed  
5. Period to which dispute relates From ...................... To ........................

6. Relief claimed in the appeal:

a. Total liability including Tax, Interest and Penalty
(i) Determined by the authority  
(ii) Admitted by the appellant  
(iii) Disputed by the appellant  

or/ and

b. Disputed by the appellant
(i) Turnover  
(ii) Amount of disputed tax  

or/ and

c. as a result of order of early refund u/s 17(2) 
(i) Amount of refund  
(ii) Period  
(iii) Date of order u/s 17(2) DD/MM/YYYY  

or/ and

d. If order of Penalty/Interest is disputed
(i) Section under which Penalty/ Interest is disputed  
(ii) Amount of penalty in dispute  
(iii) Amount of Interest in dispute  

or/ and

7. Any other relief claimed
8 Whether the admitted liability has been paid  
9. Whether complied with the provisions of section 82(3) of the Act  

10. Details of amount under sub-section (3) of Section 82:

Amount Date of deposit GRN/CIN
     

11. Grounds of Appeal  

Place : Digital Signature
Date : Name of signatory
  Status :  

Verification

I / We ............................. do verify that the above information and its enclosures (if any) is true and correct to the best of my/our knowledge and belief and nothing has been concealed

Place : Digital Signature
Date : Name of signatory
  Status :