FORM APP 400
FORM OF APPEAL UNDER SECTION 31
[See Rule 38(2)(a) ]
____________________________________________
Address______________________________________________________________________________________
____________________________________________________________________________________________
I wish to appeal against the following decision / assessment received from the tax office on _______________
separate sheet)
Date/Authority who passed orders
sheet if space is insufficient )
a) Disputed turnover
b) Tax on the disputed turnover
Rs.
a) Turnover involved
b) Amount of tax disputed
(The payment particulars are to enclosed if already paid along with the reasons on Form APP 400A)
10. Payment Details:
Declaration:
I hereby declare that the information provided on this form to the best of my knowledge is true and accurate. Name ______________________Being (title)___________________________________________ Signature of the Appellant & Stamp.
Date of declaration____________________
Please Note: A false declaration is an offence.
Enclosure:- 1) Original Notice of Decision / Assessment
2) Proof of payment of disputed tax.
3) Reasons for delay (if applicable)
4) Reasons for not paying the disputed tax on Form APP 400A (if applicable)