FORM APP 406
APPLICATION FOR STAY OF COLLECTION OF DISPUTED TAX
[Under Section 31(2) & 33(6) ] [ See Rule 39(1) ]
____________________________________________
Address _______________________________________________________________________________________
_____________________________________________________________________________________________
communicated.
(b) Tax disputed
Rs.
Signature of the Dealer(s)
Signature of the Authorised Representatives if any
VERIFICATION
I / We__________________________________________ applicant (s) do hereby declare that what is stated above is true to the best of my / our knowledge and belief.
Verified to day the _________ day of_________________200
NOTE:- (1)The revision application should be accompanied by the original order against which it is filed or by a certified copy thereof unless the omission to produce such order or copy is explained to the satisfaction of the revisional authority.
(2) The application should be written in English and should set forth concisely and under distinct heads the grounds of appeal without any argument or narrative and such grounds should be numbered consecutively.
The application should be in duplicate.
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