FORM S.T. XXXX (See rule 57 of the Himachal Pradesh General Sales Tax Rules, 1970) Form of memorandum of appeal to the Sales Tax Tribunal under section 30 (c ) of the Himachal Pradesh General Sales Tax Act, 1968. SPACE FOR COURT FEE STAMP Value of Court fee stamps affixed......Before the Sales Tax Tribunal, Himachal Pradesh. No.............. of 19........ (To be filled in by Ofice of the Tribunal). ............................ Applicant. Versus ........................... . Respondent. 1. Name of the authority passing the original order 2. Assessment year 3. Authority (Designation passing the order appealed against 4. Date of communication or order appealed against 5. Address to which notice may be sent to the appellant 6. Relief claimed in appeal:(a) Turnover determined by original order (b) Turnover determined by the order appealed against (c) If turnover is disputed:- i. disputed turnover tax due on disputed turnover (d) If rate of tax is disputed: (i) turnover involved (ii) amount of tax disputed (e) If penalty is disputed: (i) penalty imposed by the original order (ii) penalty determined by the order appealed against (f) Any other relief claimed 7. The applicant has paid the tax assessed and penalty imposed as shown below: i. paid before assessment paid after assessment Challan No. Date Paid after first appeal Date Challan No. Balance due, if any, at the time of filing this appeal 8. Grounds of appeal Signature of appellants(s) or his authorized agent. Verification:- I/We ............. applicant(s) named in the above appeal do hereby declare that what is stated above from para 1 to ..... of the appeal is true to the best of my/our knowledge and belief. Verified ............this ........ the date of ..... (For use in the office of authority concerned). Office Seal. Receipt No.............. Date................ Receipt Officer. ACKNOWLEDGEMENT Office Seal. Received from Messrs................. of district .......... (R.C.No. if any)........... appeal alongwith the enclosures mentioned therein. Place........... Receiving Officer/Official. Dated............
