Form A-VI
Memorandum of appeal under section 72 of the Bihar Value Added Tax Act, 2005
[See rule 45(3)]
To,
The________________________ of Commercial Taxes (Appeals) _________________ Division
I _______________________ (full name) son of __________________________ (full name) hereby prefer this appeal against the order, dated ____ passed by ________________ and furnish the following particulars for that purpose:-
(To be furnished only in case of an application for revision concerning an assessment / re-assessment)
.................................................................................................................................................................................
VERIFICATION
I do hereby declare that the above particulars and statements are correct and complete to the best of my knowledge and belief.
ACKNOWLEDGMENT
Received on ___________________ from ______________________ memorandum of appeal in Form A-VI, for the period _____________ together with/without the papers and documents specified at item 13 of the memorandum of appeal. The appeal number allotted is _____________________ of ___________________
.
Signature of receiving authority
Designation