GOVERNMENT OF JHARKHAND COMMERCIAL TAXES DEPARTMENT [See Sec 80 of Jharkhand VAT Act, 2005] Application for Revision before the Tribunal Cover Page For Office Use Only Reasons for Rejection Summary of Form :2: GOVERNMENT OF JHARKHAND COMMERCIAL TAXES DEPARTMENT [See Sec 80 of Jharkhand VAT Act, 2005] Application for Revision before the Tribunal Instructions: 1. The application should be filed in duplicate 2. Affix court fee stamp as prescribed. 3. Enclose certified copy of order against which appeal is being filed 4. Enclose proof payment of undisputed amount 5. In case of delay, enclose Form JVAT 601 6. Enclose form VAT? for stay of demand 8. This Form should be verified and signed by: a. Proprietor, in case of Proprietorship concern b. Managing Partner, in case of Partnership firm and where there is no Managing Partner, by all the partners if there is no registered partnership deed and in case of a registered partnership deed by any one of them. c. Managing Director or authorized signatory, in case of a Company d. Karta, in case of Hindu Undivided Family e. Authorised Signatory, in all other cases f. Or by the declared Business Manager APPEAL U/S .. OF THE JHARKHAND VAT ACT, 2005 AGAINST ORDER DATED_________ PASSED BY_____________ 1. Name of the Dealer ___________________________________ 2. Registration No. (TIN) ___________________________________ 3. Address Building Name/Number ___________________________ Area/Road ___________________________ Locality/Market ___________________________ Pin Code ___________________________ Email Id ___________________________ Telephone Number(s) ___________________________ Fax Number(s) ___________________________ 4. Date of service of order appealed against ___ ___ / ___ ___ / ___ ___ ___ ___ DD / MM / YYYY 5. Section, under which order passed and authority which passed the order 6. Period of dispute _______________________________ 7. Relief claimed in appeal a) Total liability including tax, interest and penalty Determined by the authority which has passed Such order (Rs)____________________________________ Admitted by the appellant (Rs)____________________________________ Disputed by the appellant (Rs)____________________________________ b) If turnover is disputed Disputed turnover (Rs)____________________________________ Tax due on disputed turnover (Rs)____________________________________ c) If rate of tax is disputed Turnover (Rs)____________________________________ Amount of tax disputed (Rs)____________________________________ d) If order of penalty/ interest is disputed Section under which penalty/ interest is disputed _____________________________ Amount of penalty in dispute (Rs)____________________________________ Amount of interest in dispute (Rs)____________________________________ e) Any other relief claimed 8. Have you paid the admitted liability? Yes No Is yes, enclose copy of bank challan as proof of payment 9. Have you paid the remaining disputed liability? Yes No If yes, enclose copy of bank challan as proof of payment 10. Grounds for appeal Yes No Enclose additional sheet(s) in case this space is not sufficient Enclose all documents/ evidence that you want to be considered regarding your appeal 104
