Form502 - Applicationforrevisionundersection75ofthegujaratvalueaddedtaxact2003 printable pdf download

FORM 502

(See sub-rule(4) of rule 54)

Application for Revision Under section 75 of the Gujarat Value Added Tax Act 2003.

(Space for court-fee stamps)

(State here amount of court-fee stamps affixed) :

To,

The

/ /

Date of order against which the application is made

Date of receipt of the order

Reasons if revision application is not made within the time allowed :

Name and designation of the officer who pass the order :

1. The notice of demand,if any,is attached hereto.

2. A certified copy of the order against which the application for revision is made is atteched here to.

3. The amount of tax and/or penalty in dispute.

4. The application has paid the tax assessed/reassessed and or any penalty imposed under the applied against

detailed as below:

5. Statement of facts of the case (if necessary,attach a seperate sheet of paper).

6. The applicant's appeal againt the order passed by the Assistant Commissioner has been rejected / dismissed

modified / partly allowed by the commissioner or the said order been modified.

7. The applicant has not made any application for revision against the aforesaid order before any authority at any time

8. Enter here the grounds relied on for the purpose of this application for for revision.(If necessary,attach a separate

sheet of paper).

9. The applicant

Named aboved does hereby declare that what is stated herein is true.

Date the _____ day of _____ 200

Signature

To be signed by the applicant or by an agent duly

Full address of the applicant :

authorized in writing in this behalf by the applicant

SaTVAT (079 65214747)

Form502 - Applicationforrevisionundersection75ofthegujaratvalueaddedtaxact2003