MADHYA PRADESH VALUE ADDED TAX RULES, 2006 - FORMS
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FORM 43

[See Rule 58(1)]

Memorandum of Second Appeal under the Madhya Pradesh Vat Act, 2002

To,

The Appellate Board

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

FOR OFFICE USE

Appeal case No ..............

Name and address of the Appellant

TIN (if any)

Appeal Order against which Second Appeal is preferred

First appeal Case Number

Period

Date of Order of First appeal

Name of Authority who passed the Order of First appeal

Under Section

Date of Communication of Order of First appeal to appellant

Balance amount remains to be paid after first appeal order

Amount required to be paid u/s 46 (6)

Amount paid

Challan No.

Date

(1) . The appellant above named is filing this Second appeal under section 46 of the Madhya Pradesh Vat Act 2002, being aggrieved of the order mentioned above on following grounds:-

(Note: "Tick" the appropriate particulars (row), where relief is sought).

*Particulars	As admitted by the appellant	As held by the Appellate Authority
Gross Turnover
Taxable Turnover
Tax Payable on Taxable Turnover
Taxable Purchase Price
Tax Payable on Taxable Purchase Price
Input Tax Rebate
Interest
Penalty
Against the order canceling the Registration Certificate
Fixation of security
Others.................................... (Specify it)

* Particulars to be furnished only relating to the points raised in the first appeal.

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

The appellate authority / commissioner has made the following enhancement :-

........................................................................................................................................ ( here give particulars of relief given or enhancement made )

(3) A certified copy of the order of the First appeal being appealed against is attached.

(4). The appeal is made on the following grounds :-

Grounds of Second Appeal

(5) The appellant ,therefore, prays for the following relief :-

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

( here give particulars of relief sought)

Date .......................

Place .......................

Signature of Appellant

(To be signed by the appellant or by an agent duly authorized in writing in this behalf by the appellant)

Declaration

I..............the appellant named above do hereby declare that what is stated in the memorandum of appeal is true to the best of my knowledge and belief.

Place.......................	Signature of Appellant
Date ........................	(To be signed by the appellant or by an agent duly authorized in writing in this behalf by the appellant)