THE HIMACHAL PRADESH VALUE ADDED TAX RULES, 2005. FORMS
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Body

FORM VAT-XXXVII

[See rule 77(1) (a)(ii)]

Form of memorandum of appeal to the Tribunal, under section 45(1)(c) of the Himachal Pradesh Value Added Tax Act, 2005.

(Space for Court fee stamp)

NO._________________ of 200________

Value of Court fee stamps affixed.

Before the

(Appellate Authority)

M/s

Appellant(s).

Versus

Respondent.

1. Designation of the authority passing the original order

2. Assessment year

3. Designation of the authority passing the order appealed against

4. Date of communication or order at Sr. No. 3

5. Address to which notice may be sent to the appellant(s)

6. Relief claimed in appeal:

(a) turnover determined by original order;

(b) turnover determined by the order appealed against;

(c) If turnover is disputed

(i) disputed turnover; and

(ii) tax on disputed turnover;

(d) If rate of tax is disputed: -

(i) turnover involved; and

(ii) amount of tax disputed

(iii) Amount of input tax credit in dispute.

(e) If the order of penalty is disputed:

(i) penalty imposed by the original order;

(ii) penalty determined by the order appealed against;

(f) If input tax credit is disputed ---

(i) input tax credit determined by original order

(ii) input tax credit determined by the order appealed against

(g) Any other relief claimed.

8. Appellant has paid tax assessed, penalty imposed and interest accrued. TR No.

Date / / 2 0

9. Grounds of appeal (Full in here)

Signature of the Appellant(s) or his/their duly authorised agent.

Verification:

I/We____________. appellant(s) named in the above appeal do hereby declare that what is stated above from para 1 to ________ of the appeal, is true to the best of my/our knowledge and belief.

(Verified __________ this ______________ the day of 200 .

(For use in the office of authority concerned).
Official Seal.
Receipt No. _____________
Date: __________________

Receiving officer/official .
_________________________________________________________________________________
ACKNOWLEDGEMENT

Received from M/s _____________________ of district ____________________ (TIN, if any) __________ appeal alongwith the enclosures mentioned therein.

Place_________
Receiving officer/official.
Dated: ________

	Signature of the Appellant(s) or his/their duly authorised agent.