THE PUDUCHERRY VALUE ADDED TAX RULE, 2007 - FORMS
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FORM - Z

FORM OF APPEAL MEMORANDUM TO THE APPELLATE TRIBUNAL

[See rule 39(1) (a) ]

TIN

IN THE PUDUCHERRY VALUE ADDED TAX APPELLATE TRIBUNAL, PUDUCHERRY

No.	of 200
		Appellant (s)
	versus
		Respondent

1	Division in which assessment was made	:
2	Assessment year	:
3	Authority passing the original order in dispute	:
4	(a) Appellate Assistant Commissioner passing the order in appeal under section 45 (b) The number and date of the order of the Appellate Assistant Commissioner	:
5	Date of communication of the order now appealed against	:
6	Address to which notice may be sent to the appellant	:
7	Address to which Notice may be sent to the respondent	:
8	Relief claimed in appeal	:
	(a) Turnover determined by the assessing authority passing the assessment order disputed	:
	(b) Turnover confirmed by the Appellate Assistant Commissioner	:
	(c) If turnover is disputed (i) Disputed turnover (ii) Tax due on disputed turnover	:
	(d) If rate of tax is disputed (i) Turnover involved (ii) Amount of tax disputed	:
	(e) Input tax credit involved in disallowance	:
	(f) Any other relief claimed	:
9	Details of payment of admitted tax	: Receipt No........ Dt ......
10	Details of payment of 25% of the disputed tax	: Receipt No........ Dt ......
11	Grounds of appeal, etc.	:

	1. (Signed) Appellant(s)
	2. (Signed) (Authorised Representative, if any)

Verification

I/ We ................ S/o .................... the appellant / appellants 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 ...........................

	1. (Signed) Appellant(s)
	2. (Signed) (Authorised Representative, if any)

Note.- (1) The appeal should be in quadruplicate and should be accompanied by four copies (at least one of which should be the original or an authenticated copy of the order appealed against and also three copies of the order of the assessing authority)

(2) The appeal should be written in English and should set forth concisely under distinct heads the grounds of appeal without any argument or narrative and such grounds should be numbered consecutively.

(3) The appeal should be accompanied by satisfactory proof of payment of 25% of the tax as ordered by the Appellate Assistant Commissioner and the tax admitted by the appellant.

(4) The appeal should be accompanied by a fee of Rs. 100/-. The fee should be credited in Government Treasury to the appropriate heads of account. Cheque, Demand Draft, Hundies or other negotiable instruments will not be

accepted.