FORM APP 400A

DECLARATION.

[See under Section 31(1)[Rule 38(2)(d)]

I/We _______________________________ S/o, D/o, W/o __________________________________________ appellant named in the appeal preferred herein as ____________________________________ (Dealer/Firm Name) with TIN/GRN_______________________________________ hereby declare that

* the tax admitted to be due, or of such instalments as have been granted and the payment of 14.5% of the difference of tax assessed by the authority have been paid, for the relevant tax period in respect of which the appeal is preferred, the details of which are given below.

* no arrears are due from me for the relevant tax period for which appeal is preferred due to the reasons :

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