The Nagaland Value Added Tax Rules, 2005 - FORMS
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THE NAGALAND VAT RULES, 2005

FORM VAT-13

[See rule 55(10)]

Form of appeal to Appellate Tribunal under section 74 of the Nagaland Value Added Tax Act, 2005

(In quadruplicate)

IN THE NAGALAND VALUE ADDED TAX APPELLATE TRIBUNAL

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

(To be filled in by the office of the Tribunal)

M/S..................................................... Appellant

Versus

Assistant /Deputy Commissioner of Taxes (Appeal)........................... Respondent

1. The designation and address of the authority passing the order appealed against:
2. Unit/district/zone:
3. The number and date of order appealed against:
4. Assessment year:
(i) Date of communication of a copy of the order appealed against:
(ii). Designation and address of the adjudicating authority in cases where the order appealed against is an order of the Deputy Commissioner of Taxes (Appeals):
(iii). Address to which the notices may be sent to the Respondent:
(iv). Whether the decision order appealed against involves any question having relation to the value of taxable sale for purposes of assessment, if not difference in tax or tax involved, or amount of interest or penalty involved, as the case maybe.
5. (i). Period of dispute:
(ii). Amount of tax if any claimed for the period in item (i):
(iii). Amount of refund, if any claimed for the period in item (i):
(iv). Amount of interest involved:
(v). Amount of penalty imposed:
1. Whether the appellant wishes to be heard in person:
2. Relief claimed in appeal:
3. The appellant has paid the tax assessed interest, levied and penalty imposed under the order appealed against as shown below:

	Amount paid before assessment	Paid after assessment			Balance due, if any, at the time of filing of appeal Amount
	Amount paid before assessment	Amount	Treasury Receipt No.	Date	Balance due, if any, at the time of filing of appeal Amount
(i) Out of admitted tax and interest
(ii) Out of disputed tax, interest and penalty

STATEMENT OF FACTS

GROUNDS OF APPEAL

Signature of authorized representative, if any		Signature of appellant

VERIFICATION

I................................................ the appellant, do hereby declare that what is stated above is true to the best of my information and belief.

Verified today, the................................... day of................................ 200.........

Signature of the authorized representative, if any

Signature of the appellant or his authorized representative.

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