The Orissa Entry Tax - Forms
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FORM E 10 OMITTED W.E.F. 30-06-2012

(See rule 24)

REVISION PETITION IN THE HIGH COURT OF ORISSA.

No.______________________of ____________________

Petitioner ___________________________________________

(Full address & certificate of registration, if any)

Vrs

Opposite Party_________________________________________

(Full address & certificate of registration, if any)

01.

Circle/Range/LTU in which assessment was made

02.

Period for which assessment was made

03.

Designation of the Officer whose orders were appealed against before the Tribunal

04.

Date of receipt of the order of the Tribunal in appeal passed u/s 17 by the petitioner

05.

Issues before the Tribunal

06.

Finding of the Tribunal

07.

Submission of the petitioner on the findings of the Tribunal/ Question of law raised for the consideration of the High Court.

08.

Documents relied upon by the petitioner

09.

Assessment of tax/ penalty/ interest in dispute.

V E R I F I C A T I O N

I /We________________________ the petitioner(s) do hereby declare that what is stated above is true to the best of my/ our knowledge and belief.

Verified today, the ______________day of _____________.

	(Signed petitioner(s)
	Signed Authorised Agent, if any.