The Jharkhand Value Added Tax Forms , 2005
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FORM JVAT 604

GOVERNMENT OF JHARKHAND

COMMERCIAL TAXES DEPARTMENT

[See Sec 80 of Jharkhand VAT Act, 2005]

Application for Revision before the Tribunal

Cover Page

For Office Use Only

Reasons for Rejection

Please tick as applicable

Not filed Mandatory ______________________________________________________

Not enclosed Mandatory Support Document(s) _________________________________

Other __________________________________________________________________

Summary of Form

Please fill as applicable

Date of order being appealed against

___ ___ / ___ ___ / ___ ___ ___ ___

DD / MM / YYYY

Date of service of said order

___ ___ / ___ ___ / ___ ___ ___ ___

DD / MM / YYYY

Is the Revision within 90 days of the date of communication of the said order? If no, then answer Q4

Yes

Has appellant filed JVAT 601 (Application for condonation of delay)?

Yes

Has the appellant enclosed proof of payment of admitted liability?

Yes

Has the appellant paid the remaining disputed liability?

Yes

If no, then answer Q 7

Yes

Has appellant filed JVAT 603 (Application for stay of recovery of disputed amount)?

Yes

Checklist of Supporting Documents

Please tick as applicable

Mandatory Supporting Documents

Copy of the order being appealed against

Two self addressed envelopes (Without stamps)

FORM JVAT 604

GOVERNMENT OF JHARKHAND

COMMERCIAL TAXES DEPARTMENT

[See Sec 80 of Jharkhand VAT Act, 2005]

Application for Revision before the Tribunal

Instructions:

1. The application should be filed in duplicate

2. Affix court fee stamp as prescribed.

3. Enclose certified copy of order against which appeal is being filed

4. Enclose proof payment of undisputed amount

5. In case of delay, enclose Form JVAT 601

6. Enclose form VAT? for stay of demand

8. This Form should be verified and signed by:

a. Proprietor, in case of Proprietorship concern

b. Managing Partner, in case of Partnership firm and where there is no Managing Partner, by all the partners if there is no registered partnership deed and in case of a registered partnership deed by any one of them.

c. Managing Director or authorized signatory, in case of a Company

d. Karta, in case of Hindu Undivided Family

e. Authorised Signatory, in all other cases

f. Or by the declared Business Manager

APPEAL U/S ...... OF THE JHARKHAND VAT ACT, 2005 AGAINST ORDER DATED_________

PASSED BY_____________

_____________________________________________________________________________

1.	Name of the Dealer	________________________________
2.	Registration No. (TIN)	________________________________
3.	Address	Building Name/Number	___________________________
		Area/Road	___________________________
		Locality/Market	___________________________
		Pin Code	___________________________
		E-mail Id	___________________________
		Telephone Number(s)	___________________________
		Fax Number(s)	___________________________

4.	Date of service of order appealed against		___ ___ / ___ ___ / ___ ___ ___ ___
			DD / MM / YYYY
5.	Section, under which order passed and authority which passed the order
6.	Period of dispute		__________________________
7.	Relief claimed in appeal -
a)	Total liability including tax, interest and penalty Determined by the authority which has passed Such order		(Rs)______________________________
	Admitted by the appellant		(Rs)_______________________________
	Disputed by the appellant		(Rs)_______________________________
b)	If turnover is disputed Disputed turnover		(Rs)_______________________________
	Tax due on disputed turnover		(Rs)_______________________________
c)	If rate of tax is disputed
	Turnover		(Rs)_______________________________
	Amount of tax disputed		(Rs)_______________________________
d)	If order of penalty/ interest is disputed Section under which penalty/ interest is disputed		____________________________
	Amount of penalty in dispute		(Rs)_______________________________
	Amount of interest in dispute		(Rs)_______________________________

e)	Any other relief claimed

Have you paid the admitted liability?

Yes

Is yes, enclose copy of bank challan as proof of payment

Have you paid the remaining disputed liability?

Yes

If yes, enclose copy of bank challan as proof of payment

10.

Grounds for appeal

Yes

Enclose additional sheet(s) in case this space is not sufficient

Enclose all documents/ evidence that you want to be considered regarding your appeal