The Jammu and Kashmir Value Added Tax Form, 2005.
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FORM VAT-70

[See rule 75]

APPEAL TO THE APPELLATE AUTHORITY UNDER SECTION 72 OF THE J&K VALUE ADDED TAX ACT, 2005

Appeal No................... of ...............200

(This will be filled in by the office of the Appellate Authority)

1.	Name and address of the Appellant	...........................................................
2.	TIN ..................................Registration No................../TOT/CT
3.	Period for which the appeal is preferred	...........................................................
4.	Designation of the Authority passing the order appealed against	...........................................................
5.	Section and sub section under which the Order appealed against was passed and the Date of the order	...........................................................
6.	Date of service of the notice of demand Or intimation of the order appealed against	...........................................................
7.	Date of service of the copy of the order appealed against	...........................................................
8.	Time taken, if any, in obtaining copy of order	...........................................................
9.	If the appeal in time, if not, give reasons for the delay	...........................................................
10.	Amount of tax and penalty imposed by the order appealed against:-	(i) Tax ......................
		(ii) Interest .....................
		[iii] Penalty .....................
		(iv) other sum ..................

11.	Amount of tax and penalty disputed in appeal	[i) Tax .....................
		(ii) Interest .....................
		[iii] Penalty .....................
		(iv) other sum ..................

12.	Amount of admitted tax and penalty Amount paid with TR No and date.	(i) Admitted/Assessed Tax ..........
		(ii) Interest .................
		(iii) Penalty ..................
		[iv] Other sum ..................

13.	Has the competent authority stayed/extended the date of payment of tax and penalty or allowed the same to be deposited in installments If so, an attested copy of such order be attached herewith.

14. Relief claimed in appeal..............................

Statement of facts

Grounds of appeal

I..............................S/O.............................. the appellant /being authorised to file appeal on behalf of the appellant do hereby declare that what is stated above is true to the best of my information and belief.

Place .............	Signature and name in block letters
Date ...........

Note:-

(i) If the space provided against any column is insufficient separate enclosures may be used for the purpose.

(ii) This memorandum of appeal shall be signed by person specified in rule ........