Form GST APL - 05
[See Rule 110(1)]
Appeal to the Appellate Tribunal
(vii) Market value of seized goods
9. Whether the appellant wishes to be heard in person?
10. Statement of facts
11. Grounds of appeal
12. Prayer
13. Details of demand created, disputed and admitted
14. Details of payment of admitted amount and pre-deposit:
(a) Details of amount payable :
(20% of disputed tax/cess but not exceeding ' 50 crore each in respect of CGST, SGST or cess or not exceeding '100 crore in respect of IGST and ' 50 crore in respect of cess)
(b) Details of payment of admitted amount and pre-deposit (pre-deposit of 20% of the disputed tax and cess but not exceeding ' 50 crore each in respect of CGST, SGST or cess or not exceeding ' 100 crore in respect of IGST and ' 50 crore in respect of cess)
(c) Interest, penalty, late fee and any other amount payable and paid:
Verification
I, <_______________ >, hereby solemnly affirm and declare that the information given hereinabove is true and correct to the best of my knowledge and belief and nothing has been concealed therefrom.