Form GST APL - 01
[See Rule 108(1)]
Appeal to Appellate Authority
(v) Market value of seized goods
10. Whether the appellant wishes to be heard in person - Yes / No
11. Statement of facts :-
12. Grounds of appeal:-
13. Prayer:-
14. Amount of demand created, admitted and disputed
15. Details of payment of admitted amount and pre-deposit:-
(a) Details of payment required
(b) Details of payment of admitted amount and pre-deposit (pre-deposit 10% of the disputed tax and cess but not exceeding ' 25 crore each in respect of CGST, SGST or cess, or not exceeding ' 50 core in respect of IGST and ' 25 crore in respect of cess)
(c) Interest, penalty, late fee and any other amount payable and paid
16. Whether appeal is being filed after the prescribed period - Yes / No
17. If'Yes' in item 17-
(a) Period of delay -
(b) Reasons for delay -
18. Place of supply wise details of the integrated tax paid (admitted amount only) mentioned in the table in sub-clause (a) of clause 15 [item (a)], if any
Verification
I,<______________ >, hereby solemnly affirm and declare that the information given hereinabove is true and correct to the best of my knowledge and belief and nothing has been concealed therefrom.