FORM 53

[See Rule 57(3)]

Memorandum of appeal against an order of assessment or penalty or refund under the Chhattisgarh Value Added Tax Act, 2005.

To,

The.................................

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

This appeal is being filed against the order of assessment/penalty/refund dated .................passed by............................. (here give the name and designation of the authority who passed the order). The order was communicated on.......................

2. The following particulars are furnished in respect of this appeal :

(A) Period of assessment from....................to....................

(D) The appellant has paid Rs.................before assessment and Rs.................after assessment.

3. The notice of demand and a certified copy of the order appealed against are attached.

4. The appellant has paid out of the total demand of Rs........................a sum of Rs..................as required by clause ( ) of sub-section (4) of section 48.

5. Additional particulars to be furnished in respect of second appeal.

Following relief has been given :

(a) amount of reduction in tax, if quantified.........................

(b) amount of reduction in penalty if quantified...................

(c) additional amount of input tax rebate allowed ,

(d) the relief given has not been quantified but the following relief has been given which has to be quantified by the assessing authority: ..............................................................................

OR

The appellate Deputy Commissioner made the following enhancement :

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

6. This appeal is made on the following grounds :

..................................................(here state the grounds on which the appeal is preferred)

7. The appellant, therefore, prays for the following relief :

.....................................................................(here give particulars of the relief sought)