FORM 19
[See Rule 21(1)]
Form of Appeal Memorandum to the Appellate Tribunal under Section 17 of the Karnataka Tax on Professions, Trades, Callings and Employment Act, 1976.
APPEAL MEMORANDUM TO THE APPELLATE TRIBUNAL BEFORE THE KARNATAKA APPELLATE TRIBUNAL, BANGALORE
No. of 19
Appellant(s)
Versus
Respondent
(1) District in which assessment was made
(2) Assessment year
(3) Assessing authority passing assessment orders disputed
(4) Joint Commissioner of Profession Taxes passing the ordered in appeal under Section 16
(5) Date of Communication of the order now appealed against
(6) Address to which notices may be sent to the Appellant
(7) Address to which notices may be sent to the Respondent
(8) Relief claimed in appeal-
(a) Tax/Penalty/Interest by the assessing authority.
(b) Tax/Panalty/Interest on appeal by the Joint Commissioner of Profession Tax.
(c) Relief claimed.
(9) Grounds of Appeal.
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(Signed) Appellant(s)
(Signed) Authorised Representative (if any).
VERIFICATION
I/We. . . . . . . . . . . . . . . . . . . . . . . . .appellant/appellants do hereby declare that what is stated above is true to the best of my/our knowledge and belief.
N.B.- The appeal should be in quadruplicate and should be accompanied by four copies (at least one of which should be the original or an authorised copy) of the order appealed against and also four copies of the order of the assessing authority.
(Cheques, drafts, hundies or other negotiable instruments will not be accepted).