THE HIMACHAL PRADESH VALUE ADDED TAX RULES, 2005. FORMS
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FORM VAT-XXXVIII

[See rule 77(2)]

FORM OF APPLICATION FOR REVISION UNDER SECTION 46(3)

(Space for Court fee stamp)

NO._________________ of 200________

Value of Court fee stamps affixed.

BEFORE THE TRIBUNAL UNDER THE HIMACHAL PRADESH VALUE ADDED TAX ACT, 2005

M/s

Appellant(s).

Versus

Respondent.

Assessment year

District in which assessment was made

Date of passing the order of which revision is sought

Address to which notice may be sent to the applicant(s)

Address to which notice may be sent to the respondent(s)

Relief claimed in revision

(a)

If turnover is disputed

(i)

disputed turnover;

(ii)

tax on disputed turnover;

(b)

If tax is disputed: -

(i)

turnover involved;

(ii)

tax on disputed turnover;

(c)

If the order of penalty is disputed,--

(i)

Section under which penalty imposed

(ii)

Amount of penalty in dispute

(d)

If input tax credit is disputed ---

(i)

turnover on which input tax credit disputed

(ii)

amount of input tax credit disputed

(e)

Any other relief claimed.

Applicant has paid tax determined, penalty imposed by the order under revision and the interest accrued.

TR No.

Date

Grounds of revisional-

(i) improprieties,

(ii) illegalities

(Full in here)

	Signature of the Applicants

Verification:

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

(Verified __________ this ______________ the day of 200 .

Signature of applicant(s) or his /their duly authorised agent

_________________________________________________________________________________

Note. –

(i) The application for revision shall be written on the standard water marked judicial paper and to be filled in triplicate specifying all the particulars given in this form.

(ii) It shall bear court-fee stamps worth Rs___________ contain a clear statement of facts and grounds of appeal briefly but clearly set-out and shall also state precisely the relief prayed for.

(iii) It shall be accompanied by : --

(a) the order in original against which it is made duly authenticated copy thereof unless the omission to do so or to produce such order or copy is explained at the time of presentation of the application for revision to the satisfaction of the Tribunal; and

(b) proof of payment of tax (including interest payable) or of penalty or of both.

(iv) It shall be signed and verified by the applicant or by an agent duly authorised by him/them in the behalf.

(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: ________