The Chhattisgarh Value Added Tax Rules, 2006. - FORMS
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FORM 54

[See Rule 57(4)]

Application for revision under section 49(1) of the Chhattisgarh Value Added Tax Act, 2005.

To,

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

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

Name of the dealer	.........................................
Address	.........................................
Registration certificate No.	.........................................
Name of the circle	........................................

This application for revision is being filed against the order of assessment/ penalty/refund/appeal or against the order under section/rule........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 application for revision :

(A)	Period of assessment from..........................to........................
(B)	Particulars	As admitted by the applicant	As determined by the assessing /appellate authority
	Turnover	............................	............................
	Taxable turnover	............................	............................
	Purchase price liable to purchase tax	............................	............................
	Ag gregate of input Tax Rebate	............................	............................

(C)	Particulars of penalty imposed under Section/Rule		Amount
	(i) ............................		............................
	(ii) ............................		............................
	(iii) ............................		............................
		Total	............................

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

3.	A certified copy of the order against which this revision application is filed is attached. (The notice of demand should also be filed in case the application for revision is against the original order of assessment/penalty).
4.	Additional particulars (to be furnished where the revision is filed against the order of appellate Deputy Commissioner. In the appeal preferred by the petitioner, the appeal was dismissed or the following relief has been given.)
	(a) amount of reduction in tax, if quantified.........................
	(b) amount of reduction in penalty if quantified...................
	(c) 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 has made the following enhancement :
	.................................................................................................
5.	The application for revision is made on the following grounds :
	....................................................(here state the grounds on which the application is filed)
6.	The Petitioner, therefore, prays for the following relief :
	...................................................................................(here give particulars of the relief sought)
		Signed........................
	Date.........................	(To be signed by the applicant or by an agent duly authorised in this behalf by the applicant in writing)
	Petitioner named above hereby declares that what is stated herein is true to the best of his information and belief.
		Signed........................
	Date.........................	(To be signed by the applicant or by an agent duly authorised in this behalf by the applicant in writing)
		_______________