FORM NO 35
[ See rule 45 ]
APPEAL TO THE COMMISSIONER OF INCOME-TAX (APPEALS)
Designation of the Commissioner [Appeals]
*No. ------.. of ---- 20
Name and address of the applicant | |
Permanent Account Number | |
Assessment year in connection with which the appeal is preferred | |
Assessing Officer/Valuation Officer passing the order appealed against. | |
Section and sub-section of the Income-tax Act, 1961, under which the Assessing Officer/Valuation Officer passed the order appealed against and the date of such order. | |
Where the appeal relates to any tax deducted under section 195(1), the date of payment of the tax | |
Where the appeal relates to any assessment or penalty the date of service of the relevant notice of demand | |
In any other case, the date of service of the intimation of the order appealed against | |
Section and clause of the Income-tax Act, 1961, under which the appeal is preferred - Where a return has been filed by the appellant for the assessment year in connection with which the appeal is preferred. whether tax due on the income returned has been paid in full ( If answer is in the affirmative, give details of date of payment and amount paid ) |
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Where no return has been filed by the appellant for the assessment year in connection with which the appeal is preferred, whether an amount equal to the amount of advance tax payable by him during the financial year immediately preceding such assessment year has been paid ( If answer is in the affirmative, give details of payment and amount paid ) | |
Relief claimed in appeal | |
Where an appeal in relation to any other assessment year is pending in the case of the appellant with any Deputy Commissioner (Appeals) or Commissioner (Appeals) give details as to the - a) Commissioner (Appeals), with whom the appeal is pending b) assessment year in connection with which the appeal has been preferred c) Assessing Officer passing the order appealed against d) section and sub-section of the Act, under which the Assessing Officer passed the order appealed against and the date of such order. |
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Address to which notices may be sent to the appellant |
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Signed
Appellant
!STATEMENTS OF FACTS
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Signed
Appellant
!GROUNDS OF APPEAL
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Signed Appellant
FORM OF VERIFICATION
I, ----------------------------------- the appellant, do hereby declare that what is stated above is true to the best of my information and belief.
Place -------
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Signature
Date -------
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Status of AppellantSection 138 of Negotiable Instruments Act
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